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MELBOURNE MEDPSYCH PLLC
NPI 1346977311
Clinical Neuropsychologist in Melbourne, FL

Active since August 01, 2022
1915 OAK STREET, MELBOURNE, FL 32901(540) 447-0134(540) 932-7611 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Aug 1, 2022 (2 updates tracked since 2022).

About Melbourne Medpsych Pllc NPPES

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

MELBOURNE MEDPSYCH PLLC (NPI 1346977311) is a healthcare organization registered as a clinical neuropsychologist in Melbourne, Florida and active in the NPI registry since August 2022. The organization lists Gerald R Showalter, Mbr, as its authorized official.

NPPES Registry Identity

NPI1346977311
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMELBOURNE MEDPSYCH PLLC
Location Address1915 OAK STREETMelbourne, FL 32901
Mailing Address406 Avenue BMelbourne Beach, FL 32951-2215 · (540) 447-0134
Phone(540) 447-0134
Fax(540) 932-7611
Organization SubpartNo
Authorized OfficialGerald R ShowalterMbr · (540) 447-0134
Enumeration DateAugust 1, 2022
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1346977311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1915 OAK STREET, Melbourne, FL 32901
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Other Identifiers 1

OtherPY10639FL · Florida Board Of Psychology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Melbourne Medpsych PLLC's NPI number?

The NPI number for Melbourne Medpsych PLLC is 1346977311. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Melbourne Medpsych PLLC located?

Melbourne Medpsych PLLC is located at 1915 Oak Street, Melbourne, FL 32901. The listed phone number is (540) 447-0134.

What is Melbourne Medpsych PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Melbourne Medpsych PLLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.