Individual provider Active NPI

Melissa Aiello, PH.D.

  • Psychologist
  • Nyack, NY
National Provider Identifier
1407134257
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018795 Issued in NY
Practice address
421 N Highland Ave
Nyack, NY 10960-1339
Phone
(845) 353-3399
NPI assigned
Jul 28, 2011
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018795 NY Primary
Counseling Psychologist 103TC1900X 018795 NY

Addresses

Primary practice location

421 N Highland Ave
Nyack, NY 10960-1339

Mailing address

421 N Highland Ave
Nyack, NY 10960-1339
Phone (845) 353-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 29, 2022 through Dec 29, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Psychological Services PC CurrentSince Nov 20, 2022 Accepting new patients
Manhattan Cognitive-Behavioral Therapy/Psychology, PLLC Past Accepting new patients

Locations

421 N Highland Ave
Nyack, NY 10960
Phone (845) 353-3399

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1407134257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N HIGHLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601339",
            "telephone_number": "845-353-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N HIGHLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601339",
            "telephone_number": "845-353-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIELLO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018795",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "018795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.