Patrick Mele, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

025238 Issued in NY

Practice address

82 Jackson Ave
Staten Island, NY 10305-4510

Phone

(347) 403-4247

NPI assigned

Sep 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Patrick Edward Mele Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 10, 2024 through Nov 10, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Patrick Mele Psychological Services

  • Clinical Psychologist
  • Staten Island, NY
  • NPI 1205761053
  NPD Authorized official

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1437873882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NUGENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065455",
            "telephone_number": "718-344-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 JACKSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054510",
            "telephone_number": "347-403-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELE",
        "first_name": "PATRICK",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "MELE",
            "middle_name": "EDWARD",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Basem Saad Mekhail
• Youval Melamed, DDS
• Douglas Melancon
• Kyle Mele, MD
• Noelle Angela Mele, PA
• Franhe Melean, MD
• Melech Mann LLC
• Catherine Samuel Meleka, M.D.
• Maria N Melendez-Horvath
• Frances Adele Melendez, PH.D.

• Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.