Melissa Ann Jermann, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025174 Issued in NY

Practice address

353 Lexington Ave
Therapeutic Alliance Suites FL 2, Office 1
New York, NY 10016-0941

Phone

(631) 623-7185

NPI assigned

Sep 16, 2022

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Mindful Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1134938574
  NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1205558178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE",
            "address_2": "THERAPEUTIC ALLIANCE SUITES FL 2, OFFICE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "631-623-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE",
            "address_2": "THERAPEUTIC ALLIANCE SUITES FL 2, OFFICE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "631-623-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 High Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051223",
            "country_code": "US",
            "telephone_number": "917-603-8449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Hopes Farm Ln",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NY",
            "postal_code": "105062102",
            "country_code": "US",
            "telephone_number": "917-603-8449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERMANN",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakelin Jerez, RN
• Jose Rafael Jerez, M.D.
• Ury I Jerez, LMSW
• Antoine Jeri, MD
• Sherry M Jerimie, LCSW
• Jerome a. Cariaso, M.D. PLLC
• Jerome D. Waye, M.D., P.C.
• Jerome H Siegel MDPC
• Jerome H Siegel MDPC
• Jerome Herman DDS Ny, P.C.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.