Active NPI
Melissa Williams, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
National Provider Identifier
1346593985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11045872
- Practice address
- 3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215 - Phone
- (954) 324-7650
- Fax
- (305) 703-2202
- NPI assigned
- Oct 19, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11045872 | FL | Primary |
Addresses
Primary practice location
3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Mailing address
3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Phone (631) 960-2459
Other practice location 1
47 Massachusetts Ave
Bay Shore, NY 11706-2502
Phone (631) 960-2459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11045872 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1346593985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 NW 107TH AVE STE 400",
"city": "DORAL",
"state": "FL",
"postal_code": "331722215",
"telephone_number": "631-960-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 NW 107TH AVE STE 400",
"city": "DORAL",
"state": "FL",
"postal_code": "331722215",
"telephone_number": "954-324-7650",
"fax_number": "305-703-2202"
}
],
"practiceLocations": [
{
"address_1": "47 Massachusetts Ave",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117062502",
"country_code": "US",
"telephone_number": "631-960-2459",
"fax_number": "631-730-3099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11045872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.