Individual provider Active NPI

Melissa Williams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Doral, FL
National Provider Identifier
1346593985
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11045872 Issued in FL
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

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045872FLMDPsychiatric/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

Verify at the official NPI Registry.