Melissa Ann Melkumov, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022561 Issued in NY

Practice address

19 West 34TH St
Penthouse
New York, NY 10001

Phone

(646) 374-8840

NPI assigned

Feb 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1366941833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 6TH AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154041",
            "telephone_number": "734-276-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WEST 34TH ST",
            "address_2": "PENTHOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "646-374-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKUMOV",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022561",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Melito, D.O.
• Ariane Hayden Meliton, PA-C
• Ashley Meliton
• Ekaterini Melitsopoulou
• Stephanie Melka
• Gyulnara Melkumyants, MD
• Gail D'Eramo Melkus, NP
• Allison Cheryl Mell, DPT
• Paula M Mella, D.D.S
• Danielle Marie Mellace, D.O.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.