Individual provider Active NPI

Melanie Newman, PSYD

  • Clinical Psychologist
  • Lancaster, PA
National Provider Identifier
1447996855
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019558 Issued in PA
Practice address
1902 Olde Homestead LN
Lancaster, PA 17601-5875
Phone
(717) 390-0353
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019558 PA Primary

Addresses

Primary practice location

1902 Olde Homestead LN
Lancaster, PA 17601-5875

Mailing address

320 Highland Dr
Mountville, PA 17554-1232
Phone (717) 285-7121

Other practice location 1

1000 Commerce Park Dr Ste 110
Williamsport, PA 17701-5475
Phone (570) 323-6944

Other practice location 2

2330 Vartan Way Ste 204
Harrisburg, PA 17110-9763
Phone (717) 920-9434

Other identifiers 1

IdentifierTypeStateIssuer
PS019558OtherPAPA STATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@csgonline.org Direct

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

LicenseStateTypeSpecialty
PS019558PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1447996855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGHLAND DR",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541232",
            "telephone_number": "717-285-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 OLDE HOMESTEAD LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015875",
            "telephone_number": "717-390-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Commerce Park Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177015475",
            "country_code": "US",
            "telephone_number": "570-323-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 Vartan Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109763",
            "country_code": "US",
            "telephone_number": "717-920-9434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MELANIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "PS019558",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@csgonline.org",
            "affiliation": "N",
            "endpointDescription": "credentialing email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Commerce Park Dr Ste 110",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177015475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.