Active NPI
Melissa Carlin Brenner
- Clinical Psychologist
- Berlin, MD
National Provider Identifier
1679417828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 07460
- Practice address
- 109 Quillen Dr
Berlin, MD 21811-1432 - Phone
- (631) 335-9103
- NPI assigned
- Apr 17, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 07460 | MD | Primary |
Addresses
Primary practice location
109 Quillen Dr
Berlin, MD 21811-1432
Mailing address
109 Quillen Dr
Berlin, MD 21811-1432
Phone (631) 335-9103
Other names 1
- Melissa Carlin
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1679417828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 QUILLEN DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111432",
"telephone_number": "631-335-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 QUILLEN DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111432",
"telephone_number": "631-335-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "MELISSA",
"middle_name": "CARLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-17",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "07460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CARLIN",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.