Melinda Iketau

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MELINDA IKETAU

Practice address

230 Franklin St
Watertown, NY 13601-3996

Phone

(315) 922-3100

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melinda Iketau, LMHCNPI 1710367891

Title

LMHC, Play Therapist

Phone

(315) 922-3100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Iketau, LMHC

  • Mental Health Counselor
  • Watertown, NY
  • NPI 1710367891
  NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1376324640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FRANKLIN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013996",
            "telephone_number": "315-922-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 FRANKLIN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013996",
            "telephone_number": "315-922-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA IKETAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "IKETAU",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "LMHC, PLAY THERAPIST",
        "authorized_official_telephone_number": "315-922-3100",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky L McNulty, RPH
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• Jaquana Mendez, CASAC
• Margaret Ruth Mendoza, PSY.D.
• Mercy Hospital of Watertown United States Catholic Conference (Genesis Healthcare of New York)
• Mercy of Northern New York
• Rebecca Mae Merwin

• Mental Health Counselor in Watertown, NY
• Providers in Watertown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.