Melissa M Schroeder, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

022463 Issued in NY

Practice address

440 W Main St
Patchogue, NY 11772-3012

Phone

(631) 268-4148

NPI assigned

Aug 23, 2016

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Well Mindfully, Inc

  dba Mind Body Psychology

  • Psychologist
  • Commack, NY
  • NPI 1912590977
  NPD Authorized official
• Melissa M Schroeder Psychology, PLLC

  • Psychologist
  • Blue Point, NY
  • NPI 1982536652
  NPD Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1265987929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510211",
            "telephone_number": "631-514-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723012",
            "telephone_number": "631-268-4148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 N Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "117513403",
            "country_code": "US",
            "telephone_number": "631-268-4148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Commack Rd",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253402",
            "country_code": "US",
            "telephone_number": "631-268-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "022463",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-14-17594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Dundas Schlichting, M.D.
• Alexander Schneller
• Stephen Schoenbrot, LCSW
• Michele Schook, RN
• Matthew Scott Schorr, D.D.S.
• Julia Schubert
• Ronald Schulhoff, DDS
• Mary W Schultz, PHD
• Rachel Ann Schwiebert, M.S.ED.
• Erin Scileppi

• Mental Health Counselor in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.