Active NPI
Melodie Foellmi, PH.D.
- Forensic Psychologist
- Brooklyn, NY
National Provider Identifier
1104330448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 022308
- Practice address
- 175 Remsen St Ste 500
Brooklyn, NY 11201-4300 - Phone
- (718) 975-0180
- NPI assigned
- Nov 22, 2017
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 022308 | NY | Primary |
Addresses
Primary practice location
175 Remsen St Ste 500
Brooklyn, NY 11201-4300
Mailing address
155 W 9TH St Apt 1
Brooklyn, NY 11231-3903
Phone (917) 991-4630
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022308 | NY | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1104330448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W 9TH ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313903",
"telephone_number": "917-991-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 REMSEN ST STE 500",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014300",
"telephone_number": "718-975-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOELLMI",
"first_name": "MELODIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "NY",
"license": "022308",
"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 Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.