Organization Active NPI

Dr Melissa Corpus, Psych, P.C.

  • Psychologist
  • New York, NY
National Provider Identifier
1609506658
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR MELISSA CORPUS, PSYCH, P.C.
Practice address
303 5TH Ave RM 1707
New York, NY 10016-6641
Phone
(929) 270-7955
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Michele Ruina
Title
Office Manager
Phone
(845) 634-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

303 5TH Ave RM 1707
New York, NY 10016-6641

Mailing address

303 5TH Ave RM 1707
New York, NY 10016-6641
Phone (929) 270-7955

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SIMPLEPRACTICE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1609506658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166641",
            "telephone_number": "929-270-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166641",
            "telephone_number": "929-270-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MELISSA CORPUS, PSYCH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "RUINA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-634-1119"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SIMPLEPRACTICE",
            "affiliation": "N",
            "address_1": "303 5th Ave Rm 1707",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.