Active NPI
Melissa Daum, LGPC
- Marriage & Family Therapist
- Brooklyn, NY
National Provider Identifier
1104240779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001297
- Practice address
- 102 Greenpoint Ave
2R
Brooklyn, NY 11222-6573 - Phone
- (301) 873-0572
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP5392 | MD | |
| Marriage & Family Therapist | 106H00000X | 001297 | NY | Primary |
Addresses
Primary practice location
102 Greenpoint Ave
2R
Brooklyn, NY 11222-6573
Mailing address
102 Greenpoint Ave
2R
Brooklyn, NY 11222-6573
Phone (301) 873-0572
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 |
|---|---|---|---|
| LGP5392 | MD | MD | Mental Health Counselor |
| 001297 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1104240779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 GREENPOINT AVE",
"address_2": "2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112226573",
"telephone_number": "301-873-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 GREENPOINT AVE",
"address_2": "2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112226573",
"telephone_number": "301-873-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUM",
"first_name": "MELISSA",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP5392",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.