Individual provider Active NPI

Melissa Martell Senior, PH.D.

  • Health Service Psychologist
  • Windham, NH
National Provider Identifier
1104460807
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
6912 Issued in NH
Practice address
15 Autumn St
Windham, NH 03087-1705
Phone
(984) 332-6448
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 5588 NC
Health Service Psychologist 103TH0100X 6912 NH Primary

Addresses

Primary practice location

15 Autumn St
Windham, NH 03087-1705

Mailing address

15 Autumn St
Windham, NH 03087-1705
Phone (984) 332-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723002664 NH Practitioner - Clinical Psychologist 0244746493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5588NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jtsj1 Enterprises LLC CurrentSince Aug 4, 2025 Accepting new patients
Resilient Minds Psychology, PLLC Health Service CurrentSince Oct 21, 2025 Accepting new patients

Locations

166 S River Rd
Ste 220
Bedford, NH 03110
Phone (603) 836-4112

25 Sundial Ave
Ste 310W
Manchester, NH 03103
Phone (603) 634-9471

25 Sundial Ave
Ste 310
Manchester, NH 03103
Phone (603) 634-9471

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1104460807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AUTUMN ST",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871705",
            "telephone_number": "984-332-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AUTUMN ST",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871705",
            "telephone_number": "984-332-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIOR",
        "first_name": "MELISSA",
        "middle_name": "MARTELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "5588",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NH",
            "license": "6912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

Verify at the official NPI Registry.