NPIMap

Organization Active NPI

Melody Monique Clemons-Smith

  • Community/Behavioral Health Agency
  • Valley Stream, NY
National Provider Identifier
1467909416
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
72098334 Issued in NY
Legal business name
MELODY MONIQUE CLEMONS-SMITH
Practice address
50 W Hawthorne Ave # 3
Valley Stream, NY 11580-6220
Phone
(516) 569-6600
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mrs. Melody Monique Clemons-Smith, LMSW
Title
LMSW
Phone
(516) 439-1929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 72098334 NY Primary

Addresses

Primary practice location

50 W Hawthorne Ave # 3
Valley Stream, NY 11580-6220

Mailing address

50 W Hawthorne Ave # 3
Valley Stream, NY 11580-6220
Phone (516) 569-6600

National Provider Directory

National Provider Directory

Locations

50 W Hawthorne Ave
#3
Valley Stream, NY 11580

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1467909416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE # 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806220",
            "telephone_number": "516-569-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE # 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806220",
            "telephone_number": "516-569-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY MONIQUE CLEMONS-SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CLEMONS-SMITH",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "516-439-1929",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "72098334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.