Eliyahu Melen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00617500 Issued in NJ

Practice address

1379 Alvarado Ave
Lakewood, NJ 08701-3902

Phone

(732) 301-7010

NPI assigned

May 22, 2019

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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 Health Services PC NJ LLC

  • Psychologist
  • Jackson, NJ
  • NPI 1871433755
  Medicare reassignment NPD
• Atlantic Coast Psychological Associates

  • Clinical Psychologist
  • Lakewood, NJ
  • NPI 1215603352
  NPD Authorized official
• Children's Specialized Hospital

  • Children's Rehabilitation Hospital
  • New Brunswick, NJ
  • NPI 1396886297
  Medicare reassignment

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1578120960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HARVARD ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011954",
            "telephone_number": "732-367-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 ALVARADO AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013902",
            "telephone_number": "732-301-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Harvard St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087011954",
            "country_code": "US",
            "telephone_number": "732-367-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELEN",
        "first_name": "ELIYAHU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00617500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chana Meisels, BCBA
• Malka Baila Meisels, MS ED, BCBA
• Sara Ettel Meisels
• Yana Melamud
• Mariam M Melber, BCBA
• Michael J Menack, M.D.
• Deborah Menashy, PA
• Chanah Sarah Mendlowitz, MD
• Leah Mendlowitz
• Nechoma Mendlowitz, BCBA

• Clinical Psychologist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.