Individual provider Active NPI

Greer Grierson Melidonis

  • Psychologist
  • Hillsborough, NJ
National Provider Identifier
1235240607
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI03317 Issued in NJ
Practice address
105 Omni Dr
Center for Collaborative Psychology
Hillsborough, NJ 08844-4512
Phone
(908) 359-2466
Fax
(908) 359-0746
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SI03317 NJ Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070814000303 NJ Practitioner - Clinical Psychologist 8224129648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Omni Dr
Hillsborough, NJ 08844-4512
Phone (908) 359-2466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI03317NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greer G. Melidonis Psy.D. LLC Psychologist CurrentSince Mar 5, 2008 Accepting new patients

Locations

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

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1235240607",
    "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",
            "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",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444512",
            "telephone_number": "908-359-2466",
            "fax_number": "908-359-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIDONIS",
        "first_name": "GREER",
        "middle_name": "GRIERSON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI03317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.