MELINDA IKETAU (NPI# 1710367891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710367891 |
| Entity Type | Individual |
| Full Name | MELINDA IKETAU |
| Credential | MHC |
| Practice Address |
9502 State Route 12 Apt 3 Copenhagen NY 13626-2904 |
| Practice Telephone | 3158060684 |
| Mailing Telephone | 3158060684 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P96969 | NY | Behavioral Health & Social Service Providers |
| Street Address |
9502 STATE ROUTE 12 APT 3 |
| City | COPENHAGEN |
| State | NY |
| Zip Code | 13626-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487159125 | Tonya Jean Farrell | Licensed Practical Nurse | 9860 Nys Rt 12, Apt 2, Copenhagen, NY 13626 | 2018-03-26 |
| 1316003023 | Copenhagen Central School | Local Education Agency (LEA) | 3020 Mechanic Street, Copenhagen, NY 13626 | 2006-12-28 |
| 1215133491 | Roger B Shambo, Md, LLC | Family Medicine | 9732 State Route 12, Copenhagen, NY 13626-0026 | 2007-06-25 |
| 1780003889 | Corey Ameele | Chiropractor | 101 School Street, Copenhagen, NY 13626-0162 | 2014-04-16 |
| 1609013218 | Mary K Greene | Speech-Language Pathologist | 2988 Cataract St., Copenhagen, NY 13626-0286 | 2009-01-20 |
| 1235749979 | Lewis County General Hospital | Clinic/Center | Copenhagen Health Center, 9732 State Route 12, Copenhagen, NY 13626-1362 | 2020-08-07 |
| 1619510799 | Kristine Baker | Marriage & Family Therapist | 10138 Washington St, Copenhagen, NY 13626-2814 | 2019-10-22 |
| 1649251489 | Roger Brian Shambo | Family Medicine | 9732 State Route 12, Copenhagen, NY 13626-2906 | 2005-11-09 |
| 1871881649 | Laurel J Shambo | Physician Assistant | 9732 State Route 12, Copenhagen, NY 13626-2906 | 2011-07-14 |
| 1376529651 | Norman Bruce Scott | Family Medicine | 9732 State Route 12, Copenhagen, NY 13626-2906 | 2005-12-19 |
| Find all providers in zip 13626 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | COPENHAGEN |
| Zip Code | 13626 |
Please comment or provide details below to improve the information on MELINDA IKETAU.
| 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.