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MELISSA COLLISON HENDRICKS PHD
NPI 1912158544
Psychologist - Cognitive & Behavioral in Baltimore, MD

Active since October 01, 2008Opted out of Medicare · through Oct 1, 2027
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE, BALTIMORE, MD 21205(443) 923-9200(443) 923-9405 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Melissa Collison Hendricks Phd NPPES

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

MELISSA COLLISON HENDRICKS PHD (NPI 1912158544) is an individual cognitive & behavioral provider in Baltimore, Maryland, licensed in Maryland (04794) and active in the NPI registry since October 2008. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912158544
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameMELISSA COLLISON HENDRICKSCredential: PHD
Location Address707 N BROADWAY, KENNEDY KRIEGER INSTITUTEBaltimore, MD 21205-1832
Mailing Address2931 E Biddle St, Patient AccountingBaltimore, MD 21213-3939 · (443) 923-1886 · Fax (443) 923-1895
Phone(443) 923-9200
Fax(443) 923-9405
Sole ProprietorNo
Enumeration DateOctober 1, 2008
Last NPPES UpdateAugust 27, 2010
✔ NPI 1912158544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MD · 04794
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
707 N BROADWAY, Baltimore, MD 21205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Collison Hendricks Phd 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 October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MRS. CHRISTINE ROCHE PTA
Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289
RHONDA G STALLINGS PT
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
DR. STEPHANIE A LEE PSY.D.
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9400
ANNA DITKOFF DORSEY LGSW
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
TIFFANY WEN-TING LIN PSY.D
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
MS. BRIDGET GIBBONS M.A.
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Baltimore City (443) 923-9532
EMILY KATHRYN DRESCHEL M.ED., CCC-SLP
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-1872
SABRINA HARRISON DPT
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289

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 Hendricks's NPI number?

The NPI number for Melissa Hendricks is 1912158544. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Melissa Hendricks located?

Melissa Hendricks practices at 707 N Broadway Kennedy Krieger Institute, Baltimore, MD 21205. The listed phone number is (443) 923-9200.

What is Melissa Hendricks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Melissa Hendricks enrolled in Medicare?

No. Melissa Hendricks has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melissa Hendricks was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.