Provider Type Icon

MELANIE ILLICH MD PA NPI 1699879288


NPI Information

NPI: 1699879288
Provider Name: MELANIE ILLICH MD PA

Doing Business As: MELANIE ILLICH MD PA

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
213A OLD HEWITT RD
WACO, TX
ZIP 76712
Phone: (254) 772-2006
Get Directions

MELANIE ILLICH MD PA is a psychiatry psychiatry neurology in Waco, TX. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MELANIE ILLICH MD PA NPI is 1699879288. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Melanie Illich Md Pa.

The provider's business location address is:

213A OLD HEWITT RD
WACO, TX
ZIP 76712
Phone: (254) 772-2006
Fax: (254) 772-2011

The provider's authorized official is Melanie B Illich .
The authorized official title is President and has the following contact phone number (254) 772-2006.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryJ2104TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G08042MEDICARE UPIN
28A1569MEDICARE ID-TYPE UNSPECIFIEDINDIV
300445UMEDICARE ID-TYPE UNSPECIFIEDGROUP
4157845201MEDICAIDTEXAS
5113408204MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.