Individual provider Active NPI

Melissa S Goodemote, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1124117403
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400989 Issued in NY
Practice address
423A New Karner Rd.
Upper Level
Albany, NY 12205-1840
Phone
(518) 275-8672
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400989 NY Primary

Addresses

Primary practice location

423A New Karner Rd.
Upper Level
Albany, NY 12205-1840

Mailing address

423A New Karner Rd.
Upper Level
Albany, NY 12205-1840
Phone (518) 275-8672

Other practice location 1

439 Kenwood Ave
Delmar, NY 12054-1840
Phone (518) 275-8672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000661 NY Practitioner - Nurse Practitioner 7618068297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc CurrentSince Jan 16, 2014 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Feb 15, 2021 Accepting new patients
Access: Supports for Living Inc. CurrentSince Jan 16, 2014 Accepting new patients
Family & Children'S Service of the Capital Region Inc. CurrentSince Sep 29, 2014 Accepting new patients
R.G. Psychological Services, P.C. Past Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Locations

650 Warren St
Ste 1
Albany, NY 12208
Phone (518) 462-6531

134 N 4th St
Brooklyn, NY 11249

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

670 Franklin St
Fl 2
Schenectady, NY 12305
Phone (518) 462-6531

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

Interoperability endpoints

  • Direct secure messaging: mgoodemote@landmarkhealth-direct.org

Organizations & group practices 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1124117403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423A NEW KARNER RD.",
            "address_2": "UPPER LEVEL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051840",
            "telephone_number": "518-275-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423A NEW KARNER RD.",
            "address_2": "UPPER LEVEL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051840",
            "telephone_number": "518-275-8672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 Kenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120541840",
            "country_code": "US",
            "telephone_number": "518-275-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODEMOTE",
        "first_name": "MELISSA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.