MICHAEL W MELLON (NPI# 1023088804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023088804 |
| Entity Type | Individual |
| Full Name | MICHAEL W MELLON |
| Credential | PHD |
| Practice Address |
3333 Burnet Avenue Ml 5021 Cincinnati OH 45229-3039 |
| Mailing Address |
3333 Burnet Avenue Ml 3015 Cincinnati OH 45229-3039 |
| Practice Telephone | 5136364225 |
| Practice Fax Number | 5136362511 |
| Mailing Telephone | 5136364336 |
| Mailing Fax Number | 5136363677 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6611 | OH | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP4195 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | 680011889 | 01 |
| MN | 811579600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215983036 | Michael John Mellon | Chiropractor | 208 E Hughitt St, Iron Mountain, MI 49801-2910 | 2006-05-25 |
| 1588646889 | Michael Mellon | Nurse Anesthetist, Certified Registered | 1500 Highlands Dr, Lititz, PA 17543 | 2005-11-14 |
| 1598824104 | Michael H. Mellon | Allergy & Immunology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-12-08 |
| Street Address |
3333 BURNET AVENUE ML 5021 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241403 | Linn M Mangano | Ophthalmology | 3333 Burnet Avenue, Ml 4008, Cincinnati, OH 45229-3026 | 2005-08-10 |
| 1326669904 | Krishawnda Janelle Allen | Nurse Practitioner | 3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026 | 2020-05-05 |
| 1316566656 | Lacey M. Rudick | Nurse Practitioner | 3333 Burnet Avenue, Mlc 3014, Cincinnati, OH 45229-3026 | 2020-04-15 |
| 1407485220 | Timothy Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-04-03 |
| 1457980245 | Katherine Lura Harsh | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-04-03 |
| 1407484660 | Kiran Neha Bandi | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-31 |
| 1275161424 | Manroop Kaur Gill | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-31 |
| 1538797113 | Andrew John Thomas | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-30 |
| 1356979850 | Matthew Alexander Hapstack | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-30 |
| 1073141776 | Madeline Leigh Weber | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1285286310 | Lisa M Leonard | Psychologist | 1010 Delta Ave Apt 3, Cincinnati, OH 45208-3159 | 2019-07-09 |
| 1083190565 | Katrina Renee Lenz | Psychologist | 2035 Weyer Ave Apt 7, Cincinnati, OH 45212-3066 | 2018-07-17 |
| 1528571841 | Livewell Group | Psychologist | 7781 Cooper Rd, 2nd Floor, Suite 5, Cincinnati, OH 45242-7728 | 2017-11-08 |
| 1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1508225152 | Haviva Epstein Randolph | Psychologist | 7650 Elbrook Ave, Cincinnati, OH 45237-2204 | 2016-02-10 |
| 1174914055 | Benjamin David Dickstein | Psychologist | 323 W 5th St Frnt 1n, Cincinnati, OH 45202-2772 | 2015-02-12 |
| 1629468228 | Amber Stevens | Psychologist | 2245 Gilbert Ave Ste 303, Cincinnati, OH 45206-3000 | 2015-02-03 |
| 1609292606 | Farrah Jacquez | Psychologist | 225 Calhoun St, Suite 280, Cincinnati, OH 45219-1528 | 2014-03-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
Please comment or provide details below to improve the information on MICHAEL W MELLON.
| 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.