MELISSA ELLISON FREDERIKSE (NPI# 1710910294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910294 |
| Entity Type | Individual |
| Full Name | MELISSA ELLISON FREDERIKSE |
| Credential | M.D. |
| Practice Address |
225 Millburn Ave Suite 210 Millburn NJ 07041-1737 |
| Practice Telephone | 9732181511 |
| Practice Fax Number | 9732181477 |
| Mailing Telephone | 9732181511 |
| Mailing Fax Number | 9732181477 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA06949500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8148007 | 05 |
| Street Address |
225 MILLBURN AVE SUITE 210 |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006352 | Paulo Bandeira Pinho | Internal Medicine | 225 Millburn Ave, Millburn, NJ 07041-1737 | 2005-07-10 |
| 1104275650 | Amy Block | Social Worker | 225 Millburn Ave, Suite 209a, Millburn, NJ 07041-1737 | 2016-06-06 |
| 1871872226 | Sammaret Behavioral Services PC | Clinic/Center | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2011-08-16 |
| 1336474188 | Donald P. Peyser, M.d. P.a. | Internal Medicine | 225 Millburn Ave, Suite 104-a, Millburn, NJ 07041-1737 | 2009-10-13 |
| 1902046444 | Bella E Baum | Physician Assistant | 225 Millburn Ave, Suite 204, Millburn, NJ 07041-1737 | 2009-02-24 |
| 1841430428 | Wendy Bond L.c.s.w.,llc | Social Worker | 225 Millburn Ave, Suite 209a, Millburn, NJ 07041-1737 | 2009-02-23 |
| 1033366471 | Wendy Bond | Social Worker | 225 Millburn Ave, Suite 209a, Millburn, NJ 07041-1737 | 2008-08-27 |
| 1003062050 | Basil Michael Yurcisin II | Surgery | 225 Millburn Ave, Suite 204, Millburn, NJ 07041-1737 | 2008-08-11 |
| 1043476450 | M. Kevin O'connor Md LLC | Clinic/Center | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2008-08-05 |
| 1700063260 | Frieda L Max | Dentist | 225 Millburn Ave, 302b, Millburn, NJ 07041-1737 | 2008-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1558582650 | Daniel P Greenfield | Psychiatry & Neurology | 24 Lackawanna Pl, Millburn, NJ 07041-1615 | 2007-05-02 |
| 1851349716 | Sonali Rohit Mahajan | Psychiatry & Neurology | 225 Millburn Ave Ste 209a, Millburn, NJ 07041-1712 | 2006-05-04 |
| 1043849920 | Tms Professional Services of New Jersey, LLC | Psychiatry & Neurology | 60 Essex St, Millburn, NJ 07041-1607 | 2020-04-03 |
| 1033314299 | Yetunde Adeola | Psychiatry & Neurology | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2007-06-18 |
| 1306066279 | Joel Robert Price | Psychiatry & Neurology | 159 Millburn Ave, 2nd Floor, Millburn, NJ 07041-1849 | 2007-04-26 |
| 1154540508 | Alan N Jacobs | Psychiatry & Neurology | 159 Millburn Ave, Millburn, NJ 07041-1849 | 2007-04-24 |
| 1649311259 | Allan J. Hermann | Psychiatry & Neurology | 159 Millburn Ave, Millburn, NJ 07041-1849 | 2007-02-08 |
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| 1790309862 | Success Tms Professional Services New Jersey LLC | Psychiatry & Neurology | 240 Frisch Ct Ste 101, Paramus, NJ 07652-5249 | 2020-06-03 |
| 1851912596 | Labyrinth Psychiatry Group LLC | Psychiatry & Neurology | 1503 Saint Georges Ave Ste 201, Colonia, NJ 07067-3427 | 2020-05-05 |
| 1740829167 | Medical Psychiatric Associates LLC | Psychiatry & Neurology | 116 Village Blvd Ste 200, Princeton, NJ 08540-5700 | 2020-01-02 |
| 1003453986 | Genpsych Flemington | Psychiatry & Neurology | 200 Route 31 Ste 104, Flemington, NJ 08822-5812 | 2019-12-10 |
| 1730725052 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 91 S Jefferson Rd Ste 301, Whippany, NJ 07981-1037 | 2019-11-21 |
| 1205471042 | Yang Tms Center of New Jersey | Psychiatry & Neurology | 999 Route 73 N Ste 200a, Marlton, NJ 08053-1227 | 2019-11-15 |
| 1942868641 | Brightmindsmd LLC | Psychiatry & Neurology | 123 South Ave E, Westfield, NJ 07090-1454 | 2019-05-29 |
| 1699238741 | Comprehensive Behavioral Health Medicine | Psychiatry & Neurology | 121 Mountain Ct Ste 114, Hackettstown, NJ 07840-2317 | 2019-04-07 |
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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.