NPIMap

Organization Active NPI

Meland-Lewis Psychological Services PLLC

  • Psychologist
  • Bloomingburg, NY
National Provider Identifier
1326472903
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
017814 Issued in NY
Legal business name
MELAND-LEWIS PSYCHOLOGICAL SERVICES PLLC
Practice address
22 North Rd
Bloomingburg, NY 12721-4687
Phone
(845) 978-2758
NPI assigned
Aug 30, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Dr. Kelli Ann Meland-Lewis, PHDNPI 1558513721
Title
Sole Member
Phone
(845) 978-2758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 017814 NY Primary

Addresses

Primary practice location

22 North Rd
Bloomingburg, NY 12721-4687

Mailing address

32 Schrempp LN
Pine Bush, NY 12566-5735
Phone (845) 978-2758

Other identifiers 2

IdentifierTypeStateIssuer
A300000977OtherNYMEDICARE PROVIDER NUMBER
03133575MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1326472903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SCHREMPP LN",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665735",
            "telephone_number": "845-978-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTH RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214687",
            "telephone_number": "845-978-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELAND-LEWIS PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "MELAND-LEWIS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "845-978-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "A300000977",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03133575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.