MS. MICHELLE M. MCMELLEN (NPI# 1821129305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821129305 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE M. MCMELLEN |
| Credential | M.A. |
| Practice Address |
101 S James St Suite 215 Ludington MI 49431-2166 |
| Practice Telephone | 2318452900 |
| Practice Fax Number | 2318452905 |
| Mailing Telephone | 2318452900 |
| Mailing Fax Number | 2318452905 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301007890 | MI | Behavioral Health & Social Service Providers |
| Street Address |
101 S JAMES ST SUITE 215 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821144015 | Eric R. Harvey | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-01-28 |
| 1922282359 | Northern Clinical and Diagnostic Associates, Pllc | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-12-20 |
| 1063543551 | Thomas J. Walsh | Social Worker | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821144015 | Eric R. Harvey | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-01-28 |
| 1811219272 | Kelly Niergarth | Psychologist | 5816 W Us Highway 10, Suite C, Ludington, MI 49431-2450 | 2010-02-25 |
| 1922282359 | Northern Clinical and Diagnostic Associates, Pllc | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-12-20 |
| 1104917590 | Charles Christopher Eldredge | Psychologist | 920 Diana St, Ludington, MI 49431-1987 | 2006-09-28 |
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| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.