Individual provider Active NPI

Melissa N Olivett, PHD

  • Counseling Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1679809768
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
018344 Issued in NY
Practice address
7 Wells St Ste 203D
Saratoga Springs, NY 12866-1238
Phone
(518) 620-8810
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 018344 NY
Counseling Psychologist 103TC1900X 018344 NY Primary

Addresses

Primary practice location

7 Wells St Ste 203D
Saratoga Springs, NY 12866-1238

Mailing address

7 Wells St Ste 203D
Saratoga Springs, NY 12866-1238
Phone (518) 620-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20091130000198 NY Practitioner - Clinical Psychologist 9739228040 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Wells St
Suite 203D
Saratoga Springs, NY 12866-1238
Phone (518) 620-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
018344NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Second Half Psychology, PLLC CurrentSince Jun 9, 2024 Accepting new patients
Whipple City Family Chiropractic PastSince Feb 6, 2025 Accepting new patients

Locations

7 Wells St
Ste 203D
Saratoga Springs, NY 12866
Phone (518) 620-8810

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1679809768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WELLS ST STE 203D",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661238",
            "telephone_number": "518-620-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WELLS ST STE 203D",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661238",
            "telephone_number": "518-620-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVETT",
        "first_name": "MELISSA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "018344",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "018344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.