DR. MELISSA MARIE FARRELL (NPI# 1952637126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952637126 |
| Entity Type | Individual |
| Full Name | DR. MELISSA MARIE FARRELL |
| Credential | PSY.D. |
| Practice Address |
1 Parklane Blvd Dearborn MI 48126 |
| Mailing Address |
1 Parklane Blvd Ste 1210 Dearborn MI 48126-2400 |
| Practice Telephone | 8006931916 |
| Practice Fax Number | 2486053525 |
| Mailing Telephone | 7733185567 |
| Mailing Fax Number | 2486053525 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071007766 | IL | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
6301014836 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259230 | Melissa Farrell | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-11-30 |
| 1396176939 | Melissa Farrell | Counselor | 47 Town St, Norwich, CT 06360-2315 | 2013-12-09 |
| 1669745295 | Melissa Ann Farrell | Social Worker | 4809 Trouble Creek Rd, New Port Richey, FL 34652-4828 | 2012-02-13 |
| 1487712857 | Melissa Lynne Farrell | Counselor | 4086 Seneca St, West Seneca, NY 14224-3022 | 2006-12-05 |
| Street Address |
1 PARKLANE BLVD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857799 | Shawnteal Nicole Pernell | Social Worker | 1 Parklane Blvd, Suite 1210e, Dearborn, MI 48126-2400 | 2015-12-18 |
| 1245634559 | Artraneen Gardner | Counselor | 1 Parklane Blvd, Dearborn, MI 48126-2400 | 2014-10-15 |
| 1396155628 | Ashley Weiland | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126-2400 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575762 | Authenticity Psychological Services | Psychologist | 24314 Cherry Hill St, Dearborn, MI 48124-1358 | 2020-07-13 |
| 1144798216 | Janelle A Smith | Psychologist | 2881 Monroe St # 201, Dearborn, MI 48124-3475 | 2018-11-07 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1851696488 | Ellen Louise Keyt | Psychologist | Counseling & Resource Center of Dearborn, 19855 W. Outer Drive, Dearborn, MI 48124 | 2011-01-12 |
| 1649574526 | Tiffany Zlatich Tuttle | Psychologist | 19855 West Outer Dr Ste 104w, Dearborn, MI 48124-2022 | 2011-01-06 |
| 1689984213 | Justin Wayne Peer | Psychologist | 1 Parklane Blvd Ste 1210e, Dearborn, MI 48126-4283 | 2010-10-17 |
| 1558594283 | George Psychological Services PC | Psychologist | 2314 Monroe, Dearborn, MI 48124-3045 | 2009-08-28 |
| 1063663714 | Maritaconstance Supan | Psychologist | 934 Mason St, Dearborn, MI 48124-2215 | 2008-09-30 |
| 1588710222 | Manuel Alexander Manrique | Psychologist | 22967 Outer Dr, Dearborn, MI 48124-4248 | 2007-01-26 |
| 1295898112 | Amy J Charness | Psychologist | 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 | 2006-12-19 |
| Find all providers in DEARBORN | ||||
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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.