DR. MELITA PSYCHOLOGICAL SERVICES, PLLC (NPI# 1205443066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205443066 |
| Entity Type | Organization |
| Organization Name | DR. MELITA PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
515 Madison Ave Fl 21 New York NY 10022-5433 |
| Mailing Address |
555 Madison Ave Fl 5 New York NY 10022-3410 |
| Practice Telephone | 9173361673 |
| Mailing Telephone | 9173361673 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | DR. MELITA THAIS PSYCHOLOGICAL (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8034679628 |
| Authorized Official Credential | L,PSYCH PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
515 MADISON AVE FL 21 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-5433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861588220 | Lisa Anne Henshaw | Social Worker | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2006-10-05 |
| 1245850320 | Erin Frieda Miller | Social Worker | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2020-04-20 |
| 1669007209 | Fanny Pertnoy | Social Worker | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2020-03-04 |
| 1104465160 | Lili Knighton | Counselor | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-12-22 |
| 1124662929 | Laney Elizabeth Wallace | Art Therapist | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-11-05 |
| 1336798743 | Olivia Orley | Social Worker | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-09-09 |
| 1023661717 | Rachel Rifkin | Counselor | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-07-22 |
| 1427619436 | Mary Borys | Social Worker | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-06-21 |
| 1639738552 | Melanie E Brewster | Psychologist | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-06-13 |
| 1083177398 | Kristen Elizabeth Keefe | Social Worker | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| 1013112358 | Icd International Center for The Disabled | Clinic/Center | 421 E 106th St, New York, NY 10029-4846 | 2007-06-18 |
| 1093736696 | Bethany Novak | Clinic/Center | 312 E 94th St, New York, NY 10128-5604 | 2006-07-21 |
| 1578164331 | Meredith Weiss, Md | Clinic/Center | 111 E 80th St Apt 1d, New York, NY 10075-0350 | 2020-11-06 |
| 1558894253 | Mount Sinai Medical Center | Clinic/Center | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-04-10 |
| 1073901260 | Wendy Olesker Ph.d P.C. | Clinic/Center | 15 W 72nd St, New York, NY 10023 | 2014-12-23 |
| 1891034617 | Stephanie Fagin-jones Phd Clinical Psychologist PC | Clinic/Center | 210 W 70th St, 201, New York, NY 10023-4304 | 2013-02-14 |
| 1386884732 | Center for Living | Clinic/Center | 226 E 52nd St, New York, NY 10022-6201 | 2009-02-25 |
| 1780838060 | Playdate Lmsw Social Work Pllc | Clinic/Center | 208 W 119th St, Suite 3r, New York, NY 10026-1209 | 2008-11-12 |
| 1386816726 | Angela Rivera | Clinic/Center | 320 E 94th St, New York, NY 10128-5604 | 2008-03-26 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.