Active NPI
Melvin Franklin Gattis II, LPC
- Professional Counselor
- East Orange, NJ
National Provider Identifier
1639802424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00436300
- Practice address
- 67 Sanford St
East Orange, NJ 07018-1926 - Phone
- (973) 673-3342
- NPI assigned
- Jul 8, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00436300 | NJ | Primary |
Addresses
Primary practice location
67 Sanford St
East Orange, NJ 07018-1926
Mailing address
22 Central Ave Apt 425
West Orange, NJ 07052-5479
Phone (973) 494-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00436300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1639802424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CENTRAL AVE APT 425",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070525479",
"telephone_number": "973-494-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 SANFORD ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181926",
"telephone_number": "973-673-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTIS",
"first_name": "MELVIN",
"middle_name": "FRANKLIN",
"name_suffix": "II",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00436300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.