DR. MELISSA L. GREGORY (NPI# 1851585418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851585418 |
| Entity Type | Individual |
| Full Name | DR. MELISSA L. GREGORY |
| Credential | PSYD, LP |
| Practice Address |
101 E Pier St Ste 2 Port Washington WI 53074-1939 |
| Practice Telephone | 2622845789 |
| Mailing Telephone | 2622845789 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3373-57 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 903417100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 Green Bay Rd Ste 209, Thiensville, WI 530921657 | 4149375572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528399110 | Melissa Gregory | Speech-Language Pathologist | 125 E, Seminary, Wheaton, IL 60187 | 2010-01-20 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1386604460 | Melissa Jane Gregory | Pediatrics | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2006-03-24 |
| 1073172490 | Melissa Gregory | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2019-06-10 |
| 1619445970 | Melissa Dawn Gregory | Case Manager/Care Coordinator | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2018-11-05 |
| 1942704093 | Melissa Gregory | Counselor | 15127 S 73rd Ave Ste C, Orland Park, IL 60462-3463 | 2018-03-22 |
| 1447793658 | Melissa Gregory | Registered Nurse | 1307 E North Ave, Belton, MO 64012-5109 | 2016-11-21 |
| Street Address |
101 E PIER ST STE 2 |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881600807 | Comprehensive Counseling Services | Clinic/Center | 101 E Pier St Ste 2, Port Washington, WI 53074-1939 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114296985 | Diana Janine Arrese-tomei | Psychologist | 90 Avenue C, Port Washington, NY 11050-2473 | 2011-12-22 |
| 1558486852 | Michael Arthur Lindner | Psychologist | 21 Ivy Way, Port Washington, NY 11050-3801 | 2007-03-20 |
| 1184762403 | Carol Ruth Bravmann | Psychologist | 2 Haven Ave, Suite 217, Port Washington, NY 11050-3636 | 2007-02-01 |
| 1588716419 | Mary Anne Yanulis | Psychologist | 102 Oakland Ave, Port Washington, NY 11050-1842 | 2007-01-18 |
| 1609943067 | Nina E. Cohen | Psychologist | 24 Evelyn Rd, Port Washington, NY 11050-2845 | 2006-11-29 |
| 1184795650 | Ronald Murphy | Psychologist | 14 Terrace Dr, Port Washington, NY 11050-3420 | 2006-11-13 |
| 1780636654 | Lori Reeve-domeny | Psychologist | 1440 Port Washington Blvd, Port Washington, NY 11050-2412 | 2006-05-17 |
| 1669423182 | Diane Mary Stemple | Psychologist | 20 N Bayles Ave, Port Washington, NY 11050-2921 | 2006-05-12 |
| 1609144567 | Dennis William Meade | Psychologist | 100 Campus Dr, Port Washington, NY 11050-3719 | 2011-12-07 |
| 1154612653 | Dr. Judith Susan Geizhals Phd | Psychologist | 114 Middle Neck Rd, Port Washington, NY 11050-1933 | 2011-05-02 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on DR. MELISSA L. GREGORY.
| 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.