DR. MELISSA ANN BULLARD PH.D.
NPI 1851435721
Psychologist - Clinical in Traverse City, MI

Q: What is Melissa Bullard's NPI number?

The NPI number for Melissa Bullard is 1851435721. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Melissa Bullard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Melissa Bullard enrolled in Medicare?

No. Melissa Bullard has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melissa Bullard was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 16, 2007Opted out of Medicare · through Jan 1, 2028

697 HANNAH AVE STE D, TRAVERSE CITY, MI 49686(231) 392-3611(844) 213-1595 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Melissa Ann Bullard Ph.d. NPPES

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

DR. MELISSA ANN BULLARD PH.D. (NPI 1851435721) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6301012645) and active in the NPI registry since February 2007. She has opted out of Medicare through January 1, 2028 and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851435721

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MELISSA ANN BULLARDCredential: PH.D.

Location Address697 HANNAH AVE STE DTraverse City, MI 49686-3399

Mailing Address697 Hannah Ave Ste DTraverse City, MI 49686-3399 · (231) 392-3611 · Fax (844) 213-1595

Phone(231) 392-3611

Fax(844) 213-1595

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 16, 2007

Last NPPES UpdateNovember 21, 2018

✔ NPI 1851435721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301012645

Definition

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.

697 HANNAH AVE STE D, Traverse City, MI 49686

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Other Identifiers 1

Other680B812170MI · Bcbsm

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Melissa Ann Bullard 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 January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bullard's NPI number?

The NPI number for Melissa Bullard is 1851435721. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Melissa Bullard located?

Melissa Bullard practices at 697 Hannah Ave Ste D, Traverse City, MI 49686. The listed phone number is (231) 392-3611.

What is Melissa Bullard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Melissa Bullard enrolled in Medicare?

No. Melissa Bullard has opted out of Medicare through January 1, 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 Bullard was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.