Active NPI
Melissa Acquavella-Lightfoot, PSY.D.
- Cognitive & Behavioral Psychologist
- Marlton, NJ
National Provider Identifier
1003252610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 35S100506000
- Practice address
- 19 E Main St
Marlton, NJ 08053-2172 - Phone
- (856) 985-9091
- Fax
- (856) 985-9092
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 35S100506000 | NJ | Primary |
Addresses
Primary practice location
19 E Main St
Marlton, NJ 08053-2172
Mailing address
30 S Maple Ave Ste 203
Marlton, NJ 08053-2002
Phone (856) 210-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100506000 | NJ | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Acquavella-Lightfoot, LLC | Current | Accepting new patients |
Locations
30 S Maple Ave
Ste 203
Marlton, NJ 08053
Phone (516) 225-7043
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba New Patterns Psychology
- Counseling Psychologist
- Marlton, NJ
- NPI 1487393120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1003252610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S MAPLE AVE STE 203",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532002",
"telephone_number": "856-210-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E MAIN ST",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532172",
"telephone_number": "856-985-9091",
"fax_number": "856-985-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUAVELLA-LIGHTFOOT",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": "35S100506000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.