MELISSA ANN LAKE PSY.D.
NPI 1003204827
Psychologist in Phoenix, AZ

Active since December 31, 2014
4552 W COTTONTAIL RD, PHOENIX, AZ 85086(201) 232-9916 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Ann Lake Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA ANN LAKE PSY.D. (NPI 1003204827) is an individual psychologist in Phoenix, Arizona and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1003204827
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMELISSA ANN LAKECredential: PSY.D.
Location Address4552 W COTTONTAIL RDPhoenix, AZ 85086-1449
Mailing Address4552 W Cottontail RdPhoenix, AZ 85086-1449 · (201) 232-9916
Sole ProprietorYes
Enumeration DateDecember 31, 2014
Last NPPES UpdateJuly 21, 2022
NPI 1003204827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4552 W COTTONTAIL RD, Phoenix, AZ 85086

Other Identifiers 1

Other001533AZ · Ahcccs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Lake's NPI number?

The NPI number for Melissa Lake is 1003204827. It was assigned to this individual provider in the NPPES registry on December 31, 2014.

Where is Melissa Lake located?

Melissa Lake practices at 4552 W Cottontail Rd, Phoenix, AZ 85086. The listed phone number is (201) 232-9916.

What is Melissa Lake's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Melissa Lake was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.