Individual provider Active NPI

Melinda Contreras-Byrd, PSY.D.

  • Psychologist
  • Princeton, NJ
National Provider Identifier
1447502232
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SIO286 Issued in NJ
Practice address
654 State Rd
Princeton, NJ 08540-1412
Phone
(609) 356-0599
Fax
(609) 279-1815
NPI assigned
Oct 4, 2012
Last updated
Dec 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SIO286 NJ Primary

Addresses

Primary practice location

654 State Rd
Princeton, NJ 08540-1412

Mailing address

654 State Rd
Princeton, NJ 08540-1412
Phone (609) 356-0599

Other identifiers 1

IdentifierTypeStateIssuer
SI0286OtherNJBOARD OF PSYCHOLOGICAL EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SIO286NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1447502232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 STATE RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401412",
            "telephone_number": "609-356-0599",
            "fax_number": "609-279-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 STATE RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401412",
            "telephone_number": "609-356-0599",
            "fax_number": "609-279-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS-BYRD",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SIO286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGICAL EXAMINERS",
            "identifier": "SI0286",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.