Active NPI
Melissa A. Them-Peterson, PH.D.
- Clinical Psychologist
- Albany, NY
National Provider Identifier
1154638641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 68017899
- Practice address
- 1 Pine West PLZ
Suite 106
Albany, NY 12205-5531 - Phone
- (518) 218-1188
- Fax
- (518) 218-1988
- NPI assigned
- Sep 7, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 68017899 | NY | Primary |
Addresses
Primary practice location
1 Pine West PLZ
Suite 106
Albany, NY 12205-5531
Mailing address
1 Pine West PLZ
Suite 106
Albany, NY 12205-5531
Phone (518) 218-1188
Other names 1
- Dr. Melissa A. Them
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 |
|---|---|---|---|
| 68017899 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Psychological Services for Eating Disorders, PLLC | Past | Accepting new patients | |
| Health Psychology Associates, PLLC | Past | Accepting new patients |
Interoperability endpoints
- mthem@albanyhpa.medentdirect.com
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.
-
- Psychologist
- Albany, NY
- NPI 1235479387
-
- Health Service Psychologist
- Albany, NY
- NPI 1477985877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1154638641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PINE WEST PLZ",
"address_2": "SUITE 106",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055531",
"telephone_number": "518-218-1188",
"fax_number": "518-218-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PINE WEST PLZ",
"address_2": "SUITE 106",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055531",
"telephone_number": "518-218-1188",
"fax_number": "518-218-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEM-PETERSON",
"first_name": "MELISSA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68017899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "THEM",
"middle_name": "A.",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.