Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003204827 Individual Practitioner Female Practitioner

Dr. Melissa Ann Lake , PsyD

Psychologist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Lake, PsyD is a registered healthcare professional specializing in Psychologist in Phoenix, AZ. Practice services are available at 4552 W COTTONTAIL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4552 W Cottontail Rd

Phoenix, AZ 850861449

Telephone 2012329916

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
223 Specialists

Practicing in Phoenix, AZ (788 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ahcccs
001533 (AZ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Psychologist

NPI Profile Active December 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2014

Registered at 4552 W COTTONTAIL RD, PHOENIX, AZ 850861449 (Tel: 2012329916)

📍
Updated Business Mailing Address December 31, 2014

Registered at 4552 W COTTONTAIL RD, PHOENIX, AZ 850861449 (Tel: 2012329916)

👤
Provider Name / Credentials Updated December 31, 2014

Recorded as MELISSA LAKE, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2014

Psychologist (License #$$$$$$$$$ in AZ)

🟢
Initial NPI Registration & Enumeration December 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003204827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2014
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

4552 W Cottontail Rd

Phoenix, AZ 850861449

Phone: 2012329916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.