Dr. Alexis Melville, Psy.D.
Psychologist, Clinical in Fairfax, VA. Individual provider (NPI-1).
Details
- NPI
- 1699232173
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexis Melville
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2019
- Certification date
- Jan 9, 2026
- Last updated
- Jan 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 810005503 | VA | Yes |
| 103TC0700X | Psychologist, Clinical | 004690 | CT |
Practice location
4094 Majestic Ln Unit 315Fairfax, VA 22033-2104
Phone 860-796-4553
Mailing address
263 Farmington AveFarmington, CT 06030-8082
Phone 860-679-6700 · Fax 860-679-6736
Other practice locations
Farmington, CT 06030-1410
Phone 860-679-6700 · Fax 860-679-6736
Farmington, CT 06032-1800
Phone 860-679-6700 · Fax 860-679-6736
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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