Organization Active NPI

Greer G. Melidonis Psy.D. LLC

Doing business as Center for Collaborative Psychology

  • Psychologist
  • Hillsborough, NJ
National Provider Identifier
1215090600
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI03317 Issued in NJ
Legal business name
GREER G. MELIDONIS PSY.D. LLC
Doing business as
Center for Collaborative Psychology
Practice address
105 Omni Dr
Center for Collaborative Psychology, PA
Hillsborough, NJ 08844-4512
Phone
(908) 359-2466
Fax
(908) 359-0746
NPI assigned
Dec 18, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Greer Grierson Melidonis, PSY.D.NPI 1235240607
Title
Member/Manager
Phone
(908) 359-2466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X SI03317 NJ Primary

Addresses

Primary practice location

105 Omni Dr
Center for Collaborative Psychology, PA
Hillsborough, NJ 08844-4512

Mailing address

105 Omni Dr
Center for Collaborative Psychology, PA
Hillsborough, NJ 08844-4512
Phone (908) 359-2466

Other names 1

  • Center for Collaborative Psychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110303000048 NJ Part B Supplier - Clinic/Group Practice 3577745181 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsborough, NJ

National Provider Directory

National Provider Directory

Locations

105 Omni Dr
Hillsborough, NJ 08844
Phone (732) 693-1317

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1215090600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OMNI DR",
            "address_2": "CENTER FOR COLLABORATIVE PSYCHOLOGY, PA",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444512",
            "telephone_number": "908-359-2466",
            "fax_number": "908-359-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OMNI DR",
            "address_2": "CENTER FOR COLLABORATIVE PSYCHOLOGY, PA",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444512",
            "telephone_number": "908-359-2466",
            "fax_number": "908-359-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREER G. MELIDONIS PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "MELIDONIS",
        "authorized_official_first_name": "GREER",
        "authorized_official_middle_name": "GRIERSON",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "908-359-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI03317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Collaborative Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.