Melissa De Gannes

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

80 Main St Ste 410
West Orange, NJ 07052-5441

Phone

(973) 986-7261

NPI assigned

Jun 8, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Melissa Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1073355319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HENRY ST APT 8",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032443",
            "telephone_number": "973-986-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIN ST STE 410",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525441",
            "telephone_number": "973-986-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GANNES",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STEWART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlene Phyllis Davis, MSW MED MA
• Michael Davis, LPC, BCPC
• Nastassia Davis, MSN, RN, IBCLC
• Christina B Davitt, APN
• Medhat Dawoud, DMD
• Adria De Simone, MS, CRC, LAC, CBIS
• Dia Deangelis
• Gerald Deangelis, LCSW
• Diane Rose Dearie, MA
• Deborah a Coy MD LLC

• Marriage & Family Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.