Melissa Broughton, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2321864 Issued in MA

Practice address

PO Box 58
New York, NY 10276-0058

Phone

(646) 820-7378

NPI assigned

Aug 4, 2020

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 15

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA, NY, MI, DC, VA, TN, OH, WA, FL9 enrollments

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.

Enrollment records 9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.broughton@620407976427524.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Next Step Psychiatry PLLC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1134855349
  Medicare reassignment NPD
• Firsthand Health of Michigan, P.C.

  • General Practice Physician
  • Allen Park, MI
  • NPI 1184402745
  Medicare reassignment NPD
• Firsthand Health of Ohio

  • General Practice Physician
  • Cleveland, OH
  • NPI 1780348185
  Medicare reassignment NPD
• Firsthand Health of Virginia PC

  • General Practice Physician
  • Richmond, VA
  • NPI 1780489823

  DC

  Medicare reassignment NPD
• Firsthand Health of Washington PC

  • General Practice Physician
  • Tacoma, WA
  • NPI 1649058215
  Medicare reassignment NPD
• Measured Wellness LLC

  • Psychiatry Physician
  • Boston, MA
  • NPI 1588273320
  Medicare reassignment NPD
• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  Medicare reassignment NPD
• Firsthand Health of Florida PA

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1316685605

  VA

  Medicare reassignment
• Boris Balson, PC

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Brookline, MA
  • NPI 1144490988
  NPD

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

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    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1376153494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102760058",
            "telephone_number": "646-820-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102760058",
            "telephone_number": "646-820-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 W Maplewood Ln Ste 350",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072992",
            "country_code": "US",
            "telephone_number": "615-961-5878",
            "fax_number": "866-261-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1142 Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023500",
            "country_code": "US",
            "telephone_number": "253-686-3626",
            "fax_number": "253-452-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1606 Santa Rosa Rd Rm 109",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295001",
            "country_code": "US",
            "telephone_number": "804-461-7008",
            "fax_number": "804-315-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 E Colonial Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034726",
            "country_code": "US",
            "telephone_number": "407-419-0794",
            "fax_number": "407-557-4832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13201 Granger Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441251979",
            "country_code": "US",
            "telephone_number": "216-316-4059",
            "fax_number": "866-401-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7445 Allen Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481011963",
            "country_code": "US",
            "telephone_number": "313-920-6546",
            "fax_number": "313-949-5793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "MELISSA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
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            "code": "363L00000X",
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            "state": "TN",
            "license": "37871",
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        {
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            "state": "OH",
            "license": "0038485",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037817",
            "primary": false
        },
        {
            "code": "363L00000X",
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            "state": "WA",
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        {
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            "license": "0001332977",
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        {
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        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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            "license": "4704420854",
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        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "912692",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "283304",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2321864",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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        },
        {
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            "taxonomy_group": "",
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            "state": "OH",
            "license": "542940",
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        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376153494",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018079530001",
            "state": "VA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "098249",
            "state": "OH"
        },
        {
            "code": "05",
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            "issuer": null,
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            "state": "FL"
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            "identifier": "2323829",
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    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Andrew Brottman, MD
• Colleen M Brough, PT, DPT
• Darcy Erin Broughel-Baer, D.O.
• John Marcus Broughton, PH.D.
• Kory William Broughton
• Shakeira Broughton, LMSW
• Mark Andrew Brouillette, MD
• Andre George Broumas, MD
• Patricia S Brous, M.D.
• Andre Edmond Broussard, M.D.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.