PROF. MELISSA R MIGNOGNA PH.D.
NPI 1124297270
Psychologist in Shenandoah, TX

Active since February 22, 2008Opted out of Medicare · through Feb 12, 2028
111 VISION PARK BLVD, SUITE 250, SHENANDOAH, TX 77384(281) 528-4226(281) 419-0921 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prof. Melissa R Mignogna Ph.d. NPPES

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

PROF. MELISSA R MIGNOGNA PH.D. (NPI 1124297270) is an individual psychologist in Shenandoah, Texas, licensed in Texas (36831) and active in the NPI registry since February 2008. She has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1124297270
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePROF. MELISSA R MIGNOGNACredential: PH.D.
Location Address111 VISION PARK BLVD, SUITE 250Shenandoah, TX 77384-3002
Mailing Address6541 Cascade DrWaco, TX 76712-4302 · (405) 612-8574
Fax(281) 419-0921
Sole ProprietorNo
Enumeration DateFebruary 22, 2008
Last NPPES UpdateJune 15, 2015
NPI 1124297270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 36831
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.

111 VISION PARK BLVD, Shenandoah, TX 77384

Other Names 1

Former Name (1)Dr. Melissa R Jackson Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Prof. Melissa R Mignogna Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Endoscopy)
111 VISION PARK BLVD, SUITE 160
SHENANDOAH, TX 77384
Clinic/Center (Physical Therapy)
111 VISION PARK BLVD, SUITE 250
SHENANDOAH, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, STE 150
SHENANDOAH, TX 77384
Physician Assistant (Surgical)
111 VISION PARK BLVD, SUITE 240
SHENANDOAH, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Nurse Practitioner (Family)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Neurological Surgery
111 VISION PARK BLVD, SUITE 220
SHENANDOAH, TX 77384
Nurse Anesthetist, Certified Registered
111 VISION PARK BLVD, SUITE 160
SHENANDOAH, TX 77384

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 Mignogna's NPI number?

The NPI number for Melissa Mignogna is 1124297270. It was assigned to this individual provider in the NPPES registry on February 22, 2008. The provider is also known as Dr. Melissa R Jackson Ph.D..

Where is Melissa Mignogna located?

Melissa Mignogna practices at 111 Vision Park Blvd Suite 250, Shenandoah, TX 77384. The listed phone number is (281) 528-4226.

What is Melissa Mignogna's specialty?

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

Is Melissa Mignogna enrolled in Medicare?

No. Melissa Mignogna has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melissa Mignogna was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.