Individual provider Active NPI

Melissa Joy Joseph, PSYD

  • Psychologist
  • Oneida, NY
National Provider Identifier
1124196084
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0137781 Issued in NY
Practice address
588 Broad Street
Oneida, NY 13421
Phone
(315) 363-9281
Fax
(315) 363-9286
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0137781 NY Primary

Addresses

Primary practice location

588 Broad Street
Oneida, NY 13421

Mailing address

701 Lenox Ave
Oneida, NY 13421
Phone (315) 363-9281

Other practice location 1

1550 Champlin Ave
Utica, NY 13502-4828
Phone (315) 235-7600

Other identifiers 1

IdentifierTypeStateIssuer
06800013778MedicaidNY

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000632 NY Practitioner - Clinical Psychologist 3779500764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc.Group PAC ID 6608869193, 15 clinicians

Practice addresses (Care Compare)

701 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281

719 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0137781NYMDPsychologist
013778NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Jul 25, 2005 Accepting new patients

Locations

165 Main St
Oneida, NY 13421
Phone (315) 363-1059

701 Lenox Ave
Oneida, NY 13421
Phone (315) 363-3389

588 Broad St
Oneida, NY 13421
Phone 31536392814300

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1124196084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "13421",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 BROAD STREET",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "13421",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Champlin Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024828",
            "country_code": "US",
            "telephone_number": "315-235-7600",
            "fax_number": "315-235-7609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MELISSA",
        "middle_name": "JOY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0137781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06800013778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.