MELODY MICKENS (NPI# 1942759626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942759626 |
| Entity Type | Individual |
| Full Name | MELODY MICKENS |
| Practice Address |
1201 Broad Rock Boulevard 2b-271 Richmond VA 23294-4915 |
| Mailing Address |
1201 Broad Rock Blvd Richmond VA 23103 |
| Practice Telephone | 8046755000 |
| Mailing Telephone | 8043372146 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005496 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1201 BROAD ROCK BOULEVARD 2B-271 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23294-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245267160 | Tripti B Jena | Physical Medicine & Rehabilitation | 1201 Broad Rock Boulevard, Mcguire Vamc, Richmond, VA 23249 | 2006-06-27 |
| 1083091334 | Vera Tann | Social Worker | 1201 Broad Rock Boulevard, Richmond, VA 23249 | 2015-05-06 |
| 1881037489 | Talyna Putnam | Nurse Practitioner | 1201 Broad Rock Boulevard, Room 5b-166, Richmond, VA 23249 | 2013-04-12 |
| 1437407772 | Samarth Siddharth Patel | Internal Medicine | 1201 Broad Rock Boulevard, Gastroenterology and Hepatology Service (111-n), Richmond, VA 23249 | 2012-08-16 |
| 1497000640 | Holly Moore Whitlow | Pharmacist | 1201 Broad Rock Boulevard, Service 119, Richmond, VA 23249 | 2012-07-13 |
| 1407013451 | Deborah Houston Hillman | Counselor | 1201 Broad Rock Boulevard, Richmond, VA 23249 | 2008-05-19 |
| 1235306044 | Carmen Makokele | Occupational Therapist | 1201 Broad Rock Boulevard, Richmond, VA 23249-0001 | 2008-05-12 |
| 1366627192 | Mcguire Veterans Administration | Military Hospital | 1201 Broad Rock Boulevard, Richmond, VA 23249-0001 | 2007-12-28 |
| 1831241090 | Jacquelin B Rosario | Registered Nurse | 1201 Broad Rock Boulevard, Richmond, VA 23249 | 2007-01-17 |
| 1518992387 | Richard Forth | Nurse Practitioner | 1201 Broad Rock Boulevard, Richmond, VA 23249 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811454994 | Joshua Fritz | Behavior Technician | 2601 Willard Rd, Ste 105, Richmond, VA 23294 | 2019-02-26 |
| 1578020608 | Nicole Hoppe | Behavior Technician | 2601 Willard Road, Ste 105, Richmond, VA 23294 | 2019-02-25 |
| 1699278713 | Osman Med Transportation LLC | Non-emergency Medical Transport (VAN) | 8703 Queensmere Plz Apt 2, Henrico, VA 23294 | 2018-03-15 |
| 1346742830 | F.c. of Virginia, Inc. | Hospice Care, Community Based | 8401 Mayland Drive Suite L, Richmond, VA 23294 | 2018-03-01 |
| 1497256911 | Susan Marie Robinson | Speech-Language Pathologist | 9200 Mapleview Avenue, Richmond, VA 23294 | 2018-02-21 |
| 1407375512 | Lisa Therese Hall | Speech-Language Pathologist | Skipwith Elementary School, 2401 Skipwith Rd., Henrico, VA 23294 | 2017-09-11 |
| 1295257863 | All Around Taxi Service.inc | Taxi | 8601 Pellington Pl #7, Richmond, VA 23294 | 2017-07-14 |
| 1992225809 | Pony-care Transportation, Inc | Non-emergency Medical Transport (VAN) | 3212 Skipwith Road, Suite L3, Henrico, VA 23294 | 2017-06-21 |
| 1801325295 | Christina Chaney | Behavior Technician | 9351 West Broad St, Henrico, VA 23294 | 2017-06-08 |
| 1033648423 | Sarah Jennings | Behavior Technician | 9351 West Broad St., Henrico, VA 23294 | 2017-06-08 |
| Find all providers in zip 23294 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
| 1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
| 1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
| 1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| Find all providers in RICHMOND | ||||
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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.