=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922335231
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROBEHAVIORAL MEDICINE CONSULTANTS P C INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2009
-----------------------------------------------------
Last Update Date | 04/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4697 HARRISON ST
-----------------------------------------------------
City | BELLAIRE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43906-1303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-968-7006
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4697 HARRISON ST
-----------------------------------------------------
City | BELLAIRE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43906-1303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-968-7006
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ALI MOHAMMED MELHEM
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 740-968-7006
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084A0401X
-----------------------------------------------------
Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------