MELANIE WYATT (NPI# 1487059630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487059630 |
| Entity Type | Individual |
| Full Name | MELANIE WYATT |
| Practice Address |
11 Route 111 Smithtown NY 11787-3753 |
| Practice Telephone | 6319208300 |
| Mailing Telephone | 6319208300 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318117 | Melanie Leigh Wyatt | Nurse's Aide | 5600 Brainerd Rd, Chattanooga, TN 37411-5310 | 2020-08-27 |
| 1154764587 | Melanie L Wyatt | Community Health Worker | 71 Elm St, Milford, NH 03055-4810 | 2013-04-16 |
| 1467773267 | Melanie Wyatt | Pharmacist | 5821 Walden Dr, Knoxville, TN 37919 | 2010-06-15 |
| Street Address |
11 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200011 | Tara Marie Brunswick | Social Worker | 11 Route 111, Smithtown, NY 11787-3712 | 2006-08-09 |
| 1528667565 | Aleah Sophia Innis | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-21 |
| 1174120018 | Andrea Lynn Crisci | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-05 |
| 1811504491 | Katie Hodgson | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-09-28 |
| 1659981470 | Kelly Sass | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-08-06 |
| 1588298731 | New Horizons | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-26 |
| 1972135481 | April Marie Lee | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-12 |
| 1538791702 | Talia Renee Hughes | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-06 |
| 1861032260 | Maryclare Anderson | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
| 1770123184 | Guillermo F Sandoval | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861747057 | Richard Buckman | Counselor | 496 Smithtown Byp Ste 202, Smithtown, NY 11787-5011 | 2012-07-13 |
| 1831484468 | Deborah Ellen Knapp | Counselor | 267 East Main Street, Bldg. B, Suite 21-b, Smithtown, NY 11787 | 2011-06-11 |
| 1538399597 | Warren David Zysman | Counselor | 278 Middle Country Rd, Suite B, Smithtown, NY 11787-2915 | 2009-07-23 |
| 1033387154 | John J. Catapano | Counselor | 10 Carnegie Dr, Smithtown, NY 11787-2029 | 2008-02-11 |
| 1083228498 | Nicholas Anthony Califano | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2020-09-02 |
| 1003450479 | Nicole Marie Corvaia | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-29 |
| 1013550458 | Asriel King | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1396388732 | Alexa N Mcglone | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1952957193 | Michael Mehler | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-14 |
| 1114572823 | Lauren Nicole Kuhnel | Counselor | 11 Route 111, Smithtown, NY 11787-3754 | 2019-08-08 |
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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.