| Melanie K Porter, PSYD | |
|
720 Kenyon Road, North Central Iowa Mental Health Dba Berryhill Center, Fort Dodge, IA 50501-5759 | |
| (515) 955-7171 | |
| (515) 573-7898 |
| Full Name | Melanie K Porter |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 22 Years |
| Location | 720 Kenyon Road, Fort Dodge, Iowa |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568543270 | NPI | - | NPPES |
| 07466 | Other | IA | WELLMARK BC/BS |
| 0159608 | Medicaid | IA | |
| 242712 | Other | IA | MIDLANDS CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 01007 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Central Iowa Mental Health Center, Inc | 1153210232 | 12 |
| Entity Name | North Central Iowa Mental Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922188606 PECOS PAC ID: 1153210232 Enrollment ID: O20040315000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie K Porter, PSYD 720 Kenyon Road, North Central Iowa Mental Health Dba Berryhill Center, Fort Dodge, IA 50501-5759 Ph: (515) 955-7171 | Melanie K Porter, PSYD 720 Kenyon Road, North Central Iowa Mental Health Dba Berryhill Center, Fort Dodge, IA 50501-5759 Ph: (515) 955-7171 |
Dr. Timi Dee Friederichs Jordison, PHD; EDS Psychologist Medicare: Medicare Enrolled Practice Location: 1728 Central Ave, Ste. 14, Fort Dodge, IA 50501 Phone: 515-573-3628 Fax: 515-573-3682 | |
Dr. David Paul Johnson, PH.D Psychologist Medicare: May Accept Medicare Assignments Practice Location: 804 Kenyon Road, Ste A Physician's Office Bldg, West, Fort Dodge, IA 51501 Phone: 515-574-6120 Fax: 515-574-6135 | |
Dr. Sara Schwatken, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 822 Central Ave Ste 401, Fort Dodge, IA 50501 Phone: 612-270-7619 |