DR. MELODY E MARLEY PHD HSPP NPI 1710078555

NPI Information

NPI: 1710078555
Provider Name: DR. MELODY E MARLEY, PHD, HSPP
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
1810 DOGWOOD DR
KOKOMO, IN
ZIP 46902
Phone: (765) 553-5691
Get Directions

DR. Melody E Marley, PHD, HSPP is a clinical psychologist in Kokomo, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Melody E Marley, PHD, HSPP NPI is 1710078555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1810 DOGWOOD DR
KOKOMO, IN
ZIP 46902-737
Phone: (765) 553-5691
Fax: (765) 553-5772

The NPI 1710078555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		20042895A	INDIANA	No
2	103TC1900X	Psychologist	Counseling	20042895A	INDIANA	No
3	103TH0100X	Psychologist	Health Service	20042895A	INDIANA	No
4	103TC0700X	Psychologist	Clinical	20042895A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000992378	OTHER	INDIANA	ANTHEM BC/BS
2	7687958	OTHER	INDIANA	AETNA
3	537605	OTHER	INDIANA	VALUE OPTIONS
4	567370	OTHER	INDIANA	VALUE OPTIONS
5	100124250	MEDICAID	INDIANA
6	350868083	OTHER	INDIANA	TRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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