Individual provider Active NPI

Melina L Roberts

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1245619980
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
083593 Issued in NY
Practice address
441 Brooklyn Ave
1B
Brooklyn, NY 11225-3249
Phone
(347) 403-8584
Fax
(718) 693-9218
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21418 NY
Social Worker 104100000X 083593 NY Primary

Addresses

Primary practice location

441 Brooklyn Ave
1B
Brooklyn, NY 11225-3249

Mailing address

441 Brooklyn Ave
1B
Brooklyn, NY 11225-3249
Phone (347) 403-8584

Other names 1

  • Melina Harvey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21418NYMDAddiction (Substance Use Disorder) Counselor
083593NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1245619980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 BROOKLYN AVE",
            "address_2": "1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253249",
            "telephone_number": "347-403-8584",
            "fax_number": "718-693-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 BROOKLYN AVE",
            "address_2": "1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253249",
            "telephone_number": "347-403-8584",
            "fax_number": "718-693-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MELINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21418",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINA",
            "last_name": "HARVEY",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.