Individual provider Active NPI

Melissa D Millian Katz, LCSW

  • Clinical Social Worker
  • Mount Kisco, NY
National Provider Identifier
1235537010
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087980-1 Issued in NY
Practice address
40 W Main St Ste 205
Mount Kisco, NY 10549-1919
Phone
(914) 584-1480
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087980-1 NY Primary

Addresses

Primary practice location

40 W Main St Ste 205
Mount Kisco, NY 10549-1919

Mailing address

40 W Main St Ste 205
Mount Kisco, NY 10549-1919
Phone (914) 584-1480

Other practice location 1

1808 Route 6
Carmel, NY 10512-2356
Phone (845) 225-2700

Other names 1

  • Melissa Dawn Millian Katz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2025 through Mar 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087980-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Family and Community Services Inc PastSince Jan 14, 2020 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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1235537010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W MAIN ST STE 205",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491919",
            "telephone_number": "914-584-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W MAIN ST STE 205",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491919",
            "telephone_number": "914-584-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Route 6",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105122356",
            "country_code": "US",
            "telephone_number": "845-225-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIAN KATZ",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087980-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MILLIAN KATZ",
            "middle_name": "DAWN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.