Active NPI
Melissa Conway, PH.D.
- Clinical Psychologist
- Livingston, NJ
National Provider Identifier
1609238013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021585
- Practice address
- 66 W Mount Pleasant Ave Ste 206
Livingston, NJ 07039-2900 - Phone
- (646) 656-0747
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021585 | NY | Primary |
Addresses
Primary practice location
66 W Mount Pleasant Ave Ste 206
Livingston, NJ 07039-2900
Mailing address
31 Courter Ave
Maplewood, NJ 07040-2818
Phone (646) 656-0747
Other practice location 1
15 W 38th St Ste 730
New York, NY 10018-5501
Phone (646) 656-0747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 14, 2026 through Jun 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021585 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1609238013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 COURTER AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402818",
"telephone_number": "646-656-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 W MOUNT PLEASANT AVE STE 206",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070392900",
"telephone_number": "646-656-0747"
}
],
"practiceLocations": [
{
"address_1": "15 W 38th St Ste 730",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100185501",
"country_code": "US",
"telephone_number": "646-656-0747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONWAY",
"first_name": "MELISSA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.