MELINA MARIE SAMPLE (NPI# 1861049595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861049595 |
| Entity Type | Individual |
| Full Name | MELINA MARIE SAMPLE |
| Credential | PHD, HSPP |
| Practice Address |
210 S Race St Mishawaka IN 46544-2032 |
| Mailing Address |
2709 Blacktail Ct South Bend IN 46614-9168 |
| Practice Telephone | 5744046755 |
| Practice Fax Number | 8337834269 |
| Mailing Telephone | 5742748193 |
| Mailing Fax Number | 8337834269 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20043242A | IN | Behavioral Health & Social Service Providers |
| Street Address |
210 S RACE ST |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867058 | Joyce M Mcmahon Palmateer | Registered Nurse | 210 S Race St, Mishawaka, IN 46544-2032 | 2005-11-11 |
| 1679182208 | Choose Joy Counseling Services LLC | Social Worker | 210 S Race St, Mishawaka, IN 46544-2032 | 2020-07-29 |
| 1750862959 | Michiana Neuroscience, LLC | Clinical Neuropsychologist | 210 S Race St, Mishawaka, IN 46544-2032 | 2018-08-24 |
| 1205315033 | Michiana Mental Health Care, LLC. | Assisted Living Facility | 210 S Race St, Mishawaka, IN 46544 | 2018-08-13 |
| 1649624735 | Michael Richard Mitcheff | Clinical Neuropsychologist | 210 S Race St, Mishawaka, IN 46544-2032 | 2016-04-15 |
| 1669491338 | James Robert Davis II | Dentist | 210 S Race St, Mishawaka, IN 46544-2032 | 2006-07-19 |
| 1104892371 | Rebecca L Allen-legault | Nurse Practitioner | 210 S Race St, Mishawaka, IN 46544-2032 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1366739096 | Heather R Romero | Psychologist | 314 W Catalpa Dr Ste E, Mishawaka, IN 46545-3194 | 2011-07-01 |
| 1447558168 | Rachel Lynn Mickelson | Psychologist | 2410 Grape Rd, Ste 1, Mishawaka, IN 46545-3015 | 2011-03-03 |
| 1003983115 | Linda Monroe | Psychologist | 2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015 | 2006-11-30 |
| 1639285232 | Psychology Associates, P.C. | Psychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-23 |
| 1588777353 | Julie Marie Pelletier | Psychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-16 |
| 1275537854 | Hugh J. Van Auken Sr. | Psychologist | 230 E Day Rd, # 160, Mishawaka, IN 46545-3463 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
| 1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| 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.