MELISSA J PECOR PHD
NPI 1538488218
Psychologist in Menasha, WI
NPI Status: Active since May 20, 2010
Contact Information
1095 MIDWAY RD
MENASHA, WI
ZIP 54952
Phone: (920) 720-2300
Fax: (920) 720-3719
- Individual
- Female
- Years of Experience 22
- Psychologist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MELISSA PECOR
This page provides the complete NPI Profile along with additional information for Melissa Pecor, a provider established in Menasha, Wisconsin with a medical specialization in Psychologist and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1538488218 assigned on May 2010. The practitioner's primary taxonomy code is 103T00000X with license number 2855 (WI). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1538488218
- Provider Name
- MELISSA J PECOR PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1095 MIDWAY RD MENASHA, WI 54952
- Location Phone
- (920) 720-2300
- Location Fax
- (920) 720-3719
- Mailing Address
- 1095 MIDWAY RD MENASHA, WI 54952
- Mailing Phone
- (920) 720-3700
- Mailing Fax
- (920) 720-3719
- Medical School Name
- OTHER
- Graduation Year
- 2004
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-20-2010
- Last Update Date
- 05-20-2010
- Code Navigator
A psychologist like Melissa Pecor studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2855
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Melissa Pecor is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Melissa Pecor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729274261
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101123001208
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MELISSA J PECOR PHD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 4 | 8 | 8 | 2 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 8 | 8 | 16 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 8 + 8 + 1 + 6 + 2 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1538488218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619968773 | JOANNA MORGAN CSAC Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1093744666 | KRISTEN E OWENS MA,LPC Individual | Counselor (Mental Health) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1992802888 | JULIE A FEIDER MSE, LPC Individual | Counselor (Professional) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1194818344 | KAREN ADAIR MS Individual | Counselor (Mental Health) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1922182971 | TRICIA M HECHIMOVICH MSW Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1093882896 | ROCHELLE ALPERT Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1558438259 | MATTHEW A BAYER Individual | Psychiatry & Neurology (Psychiatry) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-3700 |
| 1750458493 | ELENA EARL Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1144397845 | JOHN BELD Individual | Psychiatry & Neurology (Psychiatry) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1316014079 | THOMAS GROH Individual | Psychologist | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1841367513 | MARY LENHARD Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1881761567 | CHRIS MATULA Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1548337132 | JANE PRATT LCSW Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1730256348 | LINDA VANWYK Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1578622635 | STEVEN BEAU Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1891854964 | JAMES CRUTHERS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1023177193 | LYNNE DREWS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1003976473 | DARLENE LEARY Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1619037090 | BARBARA LUTZEWITZ Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1124188594 | GLORIA KLOEHN Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538488218, enumerated in the NPI registry as an "individual" on May 20, 2010
The provider is located at 1095 Midway Rd Menasha, Wi 54952 and the phone number is (920) 720-2300
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider has more than 22 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on May 20, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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