Melissa Siragusa, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00521800 Issued in NJ

Practice address

5 Pascack Rd
Woodcliff Lake, NJ 07677-8317

Phone

(914) 338-6081

Fax

(201) 343-4391

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

No

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

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Qualpsych CorpGroup PAC ID 2163859083, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Qualpsych Corp.

  • Psychiatry Physician
  • Woodcliff LK, NJ
  • NPI 1427606557
  Medicare reassignment Care Compare group NPD
• Psychiatry Today, LLC

  • Psychiatry Physician
  • Hoboken, NJ
  • NPI 1447968417
  NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1609497080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582119",
            "telephone_number": "914-338-6081",
            "fax_number": "201-343-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PASCACK RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778317",
            "telephone_number": "914-338-6081",
            "fax_number": "201-343-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAGUSA",
        "first_name": "MELISSA",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00521800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Schuster, RNC, IBCLC
• Samantha Maria Sendawy, LAC, NCC
• Glenda Eileen Sepulveda, LPN
• Kristin Sharma, PH.D.
• Joseph Siragusa, M.D.
• Gail M. Sobel, M.D.
• Samiris Sostre, M.D.
• Liza Spector
• Stanley M Spergel, PSY.D.
• Stanley Spergel PA

• Mental Health Counselor in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.