Active NPI
Melissa A Ventura, M.S. ED.
- School Psychologist
- Middle Village, NY
National Provider Identifier
1336616655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1170809
- Practice address
- 6325 Dry Harbor Rd
Middle Village, NY 11379-1964 - Phone
- (718) 639-9750
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1170809 | NY | Primary |
Addresses
Primary practice location
6325 Dry Harbor Rd
Middle Village, NY 11379-1964
Mailing address
6518 48TH Ave Apt 1
Woodside, NY 11377-5860
Phone (347) 479-9166
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170809 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1336616655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 48TH AVE APT 1",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775860",
"telephone_number": "347-479-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 DRY HARBOR RD",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791964",
"telephone_number": "718-639-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "M.S. ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1170809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.