Individual provider Active NPI

Melissa Anne Slomski Long, PH.D.

  • Psychologist
  • Erie, PA
National Provider Identifier
1205265758
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSO17451 Issued in PA
Practice address
1363 W 6TH St
Erie, PA 16505-2559
Phone
(814) 490-4740
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSO17451 PA Primary

Addresses

Primary practice location

1363 W 6TH St
Erie, PA 16505-2559

Mailing address

2871 Asbury Rd
Erie, PA 16506-1445
Phone (814) 490-2913

Other names 1

  • Melissa Anne Slomski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180503001938 PA Practitioner - Clinical Psychologist 7911261664 Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4108 Zuck Rd
Erie, PA 16506-4539
Phone (814) 833-6898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSO17451PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Assessment Services Psychologist Past Accepting new patients

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1205265758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 ASBURY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061445",
            "telephone_number": "814-490-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052559",
            "telephone_number": "814-490-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMSKI LONG",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PSO17451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SLOMSKI",
            "middle_name": "ANNE",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.