Healthcare Provider Details

I. General information

NPI: 1851413397
Provider Name (Legal Business Name): MELISSA ANN PERCHELLET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA ANN MARCHIN

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD # MS 4015
KANSAS CITY KS
66160-4390
US

IV. Provider business mailing address

3901 RAINBOW BLVD # MS 4015
KANSAS CITY KS
66160-8500
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6400
  • Fax:
Mailing address:
  • Phone: 913-588-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2011022963
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number94-06652
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: