Provider Demographics
NPI:1942223490
Name:KIMMEL, MELVIN JOEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:JOEL
Last Name:KIMMEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SIMON ST
Mailing Address - Street 2:UNIT # 2A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3046
Mailing Address - Country:US
Mailing Address - Phone:603-889-0400
Mailing Address - Fax:603-577-9157
Practice Address - Street 1:39 SIMON ST
Practice Address - Street 2:UNIT # 2A
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3046
Practice Address - Country:US
Practice Address - Phone:603-889-0400
Practice Address - Fax:603-577-9157
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0916103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30423751Medicaid
NH30423751Medicaid