Individual provider Active NPI

Donna Lee Melnick, LICENSED PSYCHOLOGIS

  • Clinical Psychologist
  • Hillsborough, NJ
National Provider Identifier
1326112780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100432300 Issued in NJ
Practice address
405 Omni Dr
Hillsborough, NJ 08844-4527
Phone
(908) 672-2023
Fax
(908) 874-9993
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100432300 NJ Primary

Addresses

Primary practice location

405 Omni Dr
Hillsborough, NJ 08844-4527

Mailing address

405 Omni Dr
Hillsborough, NJ 08844-4527
Phone (908) 672-2023

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100432300NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326112780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "908-672-2023",
            "fax_number": "908-874-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "908-672-2023",
            "fax_number": "908-874-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "LICENSED PSYCHOLOGIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100432300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.