Active NPI
Melissa Herman, PSYD
- Clinical Psychologist
- Hewlett, NY
National Provider Identifier
1447733415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018771
- Practice address
- 427 Daub Ave
Hewlett, NY 11557-1136 - Phone
- (917) 679-1612
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5449 | NJ | |
| Clinical Psychologist | 103TC0700X | 018771 | NY | Primary |
Addresses
Primary practice location
427 Daub Ave
Hewlett, NY 11557-1136
Mailing address
427 Daub Ave
Hewlett, NY 11557-1136
Phone (917) 679-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-3767975 | Other | NJ | TAX ID # |
Other names 1
- Melissa Respler-Herman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5449 | NJ | MD | Clinical Psychologist |
| 018771 | NY | MD | Pediatric Occupational Therapist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1447733415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 DAUB AVE",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571136",
"telephone_number": "917-679-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 DAUB AVE",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571136",
"telephone_number": "917-679-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "MELISSA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "5449",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "47-3767975",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "RESPLER-HERMAN",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.