Individual provider Active NPI

Adriana Melissa Silva, LMSW

  • Group Psychotherapy Psychologist
  • Central Islip, NY
National Provider Identifier
1508355082
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
100995 Issued in NY
Practice address
320 Carleton Ave
Central Islip, NY 11722-4506
Phone
(631) 663-4310
Fax
(631) 439-4066
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X 100995 NY Primary

Addresses

Primary practice location

320 Carleton Ave
Central Islip, NY 11722-4506

Mailing address

36 Owens St
Brentwood, NY 11717-6618
Phone (631) 835-7641

Other practice location 1

20 Medford Ave
Patchogue, NY 11772-1290
Phone (631) 835-7641

Other practice location 2

475 E Main St Ste 101
Patchogue, NY 11772-3121
Phone (631) 363-2001

Other identifiers 1

IdentifierTypeStateIssuer
1528093242MedicaidNY

Other names 1

  • Adriana Melissa Silva-Madlon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100995NYMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seafield Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1508355082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OWENS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176618",
            "telephone_number": "631-835-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CARLETON AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224506",
            "telephone_number": "631-663-4310",
            "fax_number": "631-439-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medford Ave",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117721290",
            "country_code": "US",
            "telephone_number": "631-835-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 E Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723121",
            "country_code": "US",
            "telephone_number": "631-363-2001",
            "fax_number": "631-702-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "ADRIANA",
        "middle_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "100995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528093242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "SILVA-MADLON",
            "middle_name": "MELISSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.