Active NPI
David S. Melman, MD
- Psychiatry Physician
- Enfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 044356
- Practice address
- 5 N Main St
Enfield, CT 06082-3372 - Phone
- (860) 253-9024
- Fax
- (860) 253-9593
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD18160 | ME | |
| Psychiatry Physician | 2084P0800X | 044356 | CT | Primary |
Addresses
Primary practice location
5 N Main St
Enfield, CT 06082-3372
Mailing address
575 Main Street 2ND Floor
Attn: Credentialing Dept
Middletown, CT 06457
Phone (860) 347-6971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236338 | Medicaid | CT | |
| 001443563 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
134 State St
Meriden, CT 06450-3293
Phone (203) 237-2229
85 Lafayette St
New Britain, CT 06051-1803
Phone (860) 224-3642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18160 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Psychiatry | Current | Accepting new patients |
| Maine Behavioral Healthcare | Past | Accepting new patients |
Locations
5 N Main St
Enfield, CT 06082
Phone (860) 253-9024
575 Main St
Ste 2
Middletown, CT 06457
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642
Interoperability endpoints
- david.melman@chcict.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
Psychiatry
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biddeford, ME
- NPI 1891733309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1508056474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 MAIN STREET 2ND FLOOR",
"address_2": "ATTN: CREDENTIALING DEPT",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-347-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N MAIN ST",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823372",
"telephone_number": "860-253-9024",
"fax_number": "860-253-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELMAN",
"first_name": "DAVID",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "MD18160",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "044356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236338",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001443563",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.