Melyssa Mercurio, PSY.D., NCSP, MT-BC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS019326 Issued in PA

Practice address

1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122

Phone

(412) 406-7734

NPI assigned

Jul 16, 2021

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Psychological ServicesGroup PAC ID 2264618792, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Psychological Services

  • Psychologist
  • Pittsburgh, PA
  • NPI 1447555347
  Medicare reassignment Care Compare group NPD
• The Circulatory Center of PA, Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1053319871
  NPD (past)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1487226544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ALLEGHENY AVE",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162011812",
            "telephone_number": "716-628-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "MELYSSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., NCSP, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019326",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "11899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Merck, DO
• Virginia E. Merck
• Mercurio Care Management and Counseling, Inc.
• Lynn Ann Mercurio, LCSW
• Madison Mercurio
• Reilly Christian Mercurio, PHARMD
• Mercy Critical Care Associates P.C.
• Mercy Hospital in Pittsburgh
• Mercy Hospital Skilled Nursing Facility
• Mercy Life Center Corp (Pittsburgh Mercy Family Health Center)

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.