Carmelo Michael Nina, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

017821 Issued in NY

Practice address

2299 Jackson Ave
Seaford, NY 11783-3223

Phone

(516) 426-8904

NPI assigned

Apr 29, 2009

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1467696724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833223",
            "telephone_number": "516-426-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833223",
            "telephone_number": "516-426-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINA",
        "first_name": "CARMELO",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2021-01-08",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "017821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Newman, D.M.D.
• Linda Jill Nici, PT
• Michelle Niemira, M.S. CF-SLP, TSSLD
• Susan Nifenecker, NPP
• Janet Nilsen, R.N.
• Elizabeth Ann O'Byrne
• Maureen O'Callaghan
• Kevin O'Connor, NP
• Lauren Elizabeth O'Neill, M.S.
• Megan Elizabeth O'Rourke-Schutta, L.C.S.W

• Psychologist in Seaford, NY
• Providers in Seaford, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.