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1851652218 NPI number — MELISSA A ALVES PSY.D.

NPI Number: 1851652218
Health Care Provider/Practitioner: MELISSA A ALVES PSY.D.

Information about “1851652218” NPI (MELISSA A ALVES PSY.D.) exists in 1851652218 in HTML format HTML  |  1851652218 in plain Text format TXT  |  1851652218 in PDF (Portable Document Format) PDF  |  1851652218 in an XML format XML  formats.

NPI Number : 1851652218 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851652218",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALVES",
    "FirstName": "MELISSA",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "561 TERRY ST SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30312-2837",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-247-7015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2400 MOUNT ZION PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JONESBORO",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30236-2500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-603-3649",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2012",
    "LastUpdateDate": "04/13/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY002582",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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