MELISSA FALB (NPI# 1457702052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457702052 |
| Entity Type | Individual |
| Full Name | MELISSA FALB |
| Practice Address |
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 |
| Practice Telephone | 8003703651 |
| Practice Fax Number | 8775157147 |
| Mailing Telephone | 8003703651 |
| Mailing Fax Number | 8775157147 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2222 | CT | Behavioral Health & Social Service Providers |
| Street Address |
55 HATCHETTS HILL RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053360677 | Medop Behavioral Health Associates PC | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2006-05-09 |
| 1053957258 | Leland Reback | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-11-22 |
| 1043861438 | Sherifat Forcey | Registered Nurse | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-09-26 |
| 1336790823 | Gloria Avolio | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-09-25 |
| 1750939575 | Norrel Sainsott | Social Worker | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-08-27 |
| 1265911473 | Gabriell Budoff | Nurse Practitioner | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2018-08-08 |
| 1205344017 | Elaine Caporale | Nurse Practitioner | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2018-01-15 |
| 1790295335 | Kristin Hambidge | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-10-10 |
| 1336676907 | Jonas Robert Steiner | Social Worker | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-05-15 |
| 1780125328 | Elizabeth Green | Social Worker | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
| 1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
| 1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
| 1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
| 1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
| Find all providers in zip 06371 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957258 | Leland Reback | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-11-22 |
| 1770025074 | Elizabeth Wood | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2016-11-17 |
| 1326593708 | Walter Krauss | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363962 | Tyrek J Pratt LLC | Psychologist | 74 New London Tpke Ste 1, Glastonbury, CT 06033-4204 | 2020-10-16 |
| 1003413493 | Dominica B Hernandez | Psychologist | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-08 |
| 1861009417 | Margaret Mary Maher | Psychologist | 225 Main St # Ll, Westport, CT 06880-3216 | 2020-09-28 |
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1407461619 | Kathy Yuen | Psychologist | 34 Clearview Ave, West Hartford, CT 06119-2201 | 2020-09-14 |
| 1730706912 | Albert Petitpas | Psychologist | 130 Butternut Ln, Kensington, CT 06037-1200 | 2020-07-03 |
| 1285267880 | Margaret Taylor Davis | Psychologist | 2 Church St S Ste 511, New Haven, CT 06519-1760 | 2020-02-21 |
| 1871139196 | Joseph Demers | Psychologist | 330 Post Rd, Darien, CT 06820-3600 | 2019-11-21 |
| 1063053114 | Safe Haven Psychological Services LLC | Psychologist | 491 Main St Ste D, Branford, CT 06405-3505 | 2019-09-30 |
| 1578113403 | Janet Mentore Lee | Psychologist | 124 Woodridge Dr, New Canaan, CT 06840-3511 | 2019-09-12 |
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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.