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

NPI Status: Active since February 22, 2008

Contact Information

111 VISION PARK BLVD
SUITE 250
SHENANDOAH, TX
ZIP 77384
Phone: (281) 528-4226
Fax: (281) 419-0921

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  • Individual
  • Female
  • Psychologist
  • Opted-Out Medicare

About MELISSA MIGNOGNA

This page provides the complete NPI Profile along with additional information for Melissa Mignogna, a provider established in Shenandoah, Texas with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1124297270 assigned on February 2008. The practitioner's primary taxonomy code is 103T00000X with license number 36831 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1124297270
Provider Name
PROF. MELISSA R MIGNOGNA PH.D.
Other Name
DR. MELISSA R JACKSON PH.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
111 VISION PARK BLVD SUITE 250 SHENANDOAH, TX 77384
Location Phone
(281) 528-4226
Location Fax
(281) 419-0921
Mailing Address
6541 CASCADE DR WACO, TX 76712
Mailing Phone
(405) 612-8574
Is Sole Proprietor?
No
Enumeration Date
02-22-2008
Last Update Date
06-15-2015
Code Navigator

A psychologist like Melissa Mignogna studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Melissa Mignogna opted out of Medicare effective on 02-12-2024 until 02-12-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
36831
License State
TX
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-12-2024

  • Opt-Out End Date: 02-12-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124297270, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 9 + 1 + 4 + 2 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124297270.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, STE 150
SHENANDOAH, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, STE 150
SHENANDOAH, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, STE 150
SHENANDOAH, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Chiropractor
111 VISION PARK BLVD, #100
THE WOODLANDS, TX 77384
Clinic/Center (Endoscopy)
111 VISION PARK BLVD, SUITE 160
SHENANDOAH, TX 77384
Neurological Surgery
111 VISION PARK BLVD, SUITE 250
CONROE, TX 77384
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Chiropractor (Rehabilitation)
111 VISION PARK BLVD, STE 100
SHENANDOAH, TX 77384
Physical Medicine & Rehabilitation
111 VISION PARK BLVD, SUITE 140
SHENANDOAH, TX 77384
Physical Therapist
111 VISION PARK BLVD, SUITE 140
SHENANDOAH, TX 77384
Pain Medicine (Pain Medicine)
111 VISION PARK BLVD, STE # 100
SHENANDOAH, TX 77384
Clinic/Center (Physical Therapy)
111 VISION PARK BLVD, SUITE 250
SHENANDOAH, TX 77384
Anesthesiology
111 VISION PARK BLVD, 200
SHENANDOAH, TX 77384
Clinic/Center (Radiology)
111 VISION PARK BLVD, SUITE 130
SHENANDOAH, TX 77384
Obstetrics & Gynecology
111 VISION PARK BLVD, SUITE 270
THE WOODLANDS, TX 77384
Neurological Surgery
111 VISION PARK BLVD, SUITE 220
SHENANDOAH, TX 77384
Physician Assistant (Surgical)
111 VISION PARK BLVD, SUITE 240
SHENANDOAH, TX 77384
Neurological Surgery
111 VISION PARK BLVD, 220
SHENANDOAH, TX 77384

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124297270, enumerated as an "individual" on February 22, 2008.

The provider is located at 111 VISION PARK BLVD SUITE 250 SHENANDOAH, TX 77384 and the phone number is (281) 528-4226.

Psychologist with taxonomy code 103T00000X.