Individual provider Active NPI

Melissa R Fogel, PSY.D.

  • Clinical Psychologist
  • West Palm Beach, FL
National Provider Identifier
1558670679
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8456 Issued in FL
Practice address
2161 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6607
Phone
(941) 809-8359
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8456 FL Primary

Addresses

Primary practice location

2161 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6607

Mailing address

747 New Jersey St
West Palm Beach, FL 33401-6643
Phone (941) 809-8359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120510000198 FL Practitioner - Clinical Psychologist 4981892189 Reassigns benefits to 4 organizations
Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Health Psychological CenterGroup PAC ID 7517231301, 4 clinicians

Practice addresses (Care Compare)

1920 Palm Beach Lakes Blvd
Suite 211
West Palm Beach, FL 33409-3506
Phone (360) 460-7253

2161 Palm Beach Lakes Blvd
Suite 215
West Palm Beach, FL 33409-6611
Phone (941) 809-8359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8456FLMDClinical Psychologist
018810NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Behavioral Health LLC Psychologist CurrentSince May 1, 2025 Accepting new patients
Whole Health Psychological Center Clinical CurrentSince May 17, 2017 Accepting new patients
MCR Health, Inc. CurrentSince Oct 5, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Oct 5, 2018 Accepting new patients
Melissa R Fogel, LLC Clinical CurrentSince Jul 23, 2025 Accepting new patients
Mauro Reynolds & Associates in Counseling Inc Clinical Past Accepting new patients
Cme Psychology Consultants PA Clinical PastSince Jan 2, 2012 Accepting new patients

Locations

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577

2161 Palm Beach Lakes Blvd
Ste 215
West Palm Beach, FL 33409
Phone (561) 687-2111

5 Harvard Cir
Ste 109
West Palm Beach, FL 33409
Phone (561) 242-1744

1920 Palm Beach Lakes Blvd
Ste 211
West Palm Beach, FL 33409
Phone (360) 460-7253

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1558670679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 NEW JERSEY ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016643",
            "telephone_number": "941-809-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096607",
            "telephone_number": "941-809-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "MELISSA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.