Active NPI
Julia Rebecca Melvin, PSYD
- Psychologist
- Bronx, NY
National Provider Identifier
1407739345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 027062
- Practice address
- 1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461-1197 - Phone
- (718) 918-6763
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 027062 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461-1197
Mailing address
205 E 95TH St Apt 17K
New York, NY 10128-4069
Phone (862) 432-7403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250923001107 | NY | Order and Referring Only - Clinical Psychologist | 4789189754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1407739345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 95TH ST APT 17K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284069",
"telephone_number": "862-432-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S BLDG 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104611197",
"telephone_number": "718-918-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "JULIA",
"middle_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NY",
"license": "027062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.