Melissa Brubaker, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP020670 Issued in PA

Practice address

191 Presidential Blvd Ste W3
Bala Cynwyd, PA 19004-1205

Phone

(215) 550-1614

Fax

(445) 201-3851

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Child and Family Focus Inc.

  • Public Health or Welfare Agency
  • Hatboro, PA
  • NPI 1184304420
  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1174957781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD STE W3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041205",
            "telephone_number": "215-550-1614",
            "fax_number": "445-201-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD STE W3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041205",
            "telephone_number": "215-550-1614",
            "fax_number": "445-201-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "MELISSA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Mark Brown, D.D.S.
• Natasha Samantha Brown, LPC
• Rakirah Brown, LPC
• Sonnia Brown
• Stephanie Brown, LPN
• Frances E Bryan, MD
• Katherine Bryson, MA, LPC
• Miriam E. Buchanan, MSSA, LCSW
• Victoria Rae Buck, AUD
• Katharine Grace Burke, AGPCNP

• Psychiatric/Mental Health Nurse Practitioner in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.