Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melina Marie Sample, PHD, HSPP

Individual provider Clinical Psychologist · NPI 1861049595

Melina Marie Sample, PHD, HSPP is a Clinical Psychologist in Mishawaka, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

210 S Race St
Mishawaka, IN 46544-2032
Phone: (574) 404-6755
Fax: (833) 783-4269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20043242A (IN)

Record details

NPI number1861049595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , HSPP
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2019
Mailing address2709 Blacktail Ct, South Bend, IN 46614-9168

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