Melissa Acquavella-Lightfoot, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

MELISSA ACQUAVELLA-LIGHTFOOT, LLC

Practice address

30 S Maple Ave
Marlton, NJ 08053-2002

Phone

(856) 210-9600

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Acquavella-Lightfoot, PSY.D.NPI 1003252610

Title

Psychologist/Director

Phone

(856) 210-9600

Specialties & licenses 1

Addresses

Other names 1

• New Patterns Psychology Doing business as

Locations

Practitioners 2

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

• Melissa Acquavella-Lightfoot, PSY.D.

  • Cognitive & Behavioral Psychologist
  • Marlton, NJ
  • NPI 1003252610
  NPD Authorized official
• Heather Lisa Ilconich, LCSW

  • Clinical Social Worker
  • Marlton, NJ
  • NPI 1689414476
  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1487393120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HASTINGS CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535332",
            "telephone_number": "917-647-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S MAPLE AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532002",
            "telephone_number": "856-210-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ACQUAVELLA-LIGHTFOOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "ACQUAVELLA-LIGHTFOOT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "856-210-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Patterns Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meetinghouse Family Physicians PA
• Meghan Murphy Schmelzer Caruso, DO, L.L.C.
• Amina Mehrab, M.D
• Anokhi D. Mehta, MD
• Carlo Bruno Melini, MD
• Melissa B. Citron, LPC, LLC
• Mellul Eye & Facial Plastic Surgery, P.C.
• Steven D Mellul, D.O., FACS
• Melvyn a Blake DDS PC
• Michael D. Melzer, OD

• Counseling Psychologist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.