Healthcare Provider Details

I. General information

NPI: 1598742728
Provider Name (Legal Business Name): MELISSA M UMALI PSY D HSPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 SHERMAN DR
PRINCETON IN
47670-1043
US

IV. Provider business mailing address

1808 SHERMAN DR
PRINCETON IN
47670-1043
US

V. Phone/Fax

Practice location:
  • Phone: 812-385-9264
  • Fax: 812-385-9430
Mailing address:
  • Phone: 812-385-9264
  • Fax: 812-385-9430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number20041756A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: