Active NPI
Melissa N Olivett, PHD
- Counseling Psychologist
- Saratoga Springs, NY
National Provider Identifier
1679809768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 018344
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 018344 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Half Psychology, PLLC | Current | Accepting new patients | |
| Whipple City Family Chiropractic | Past | 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.
-
- Community/Behavioral Health Agency
- Saratoga Springs, NY
- NPI 1114769601
-
- Chiropractor
- Greenwich, NY
- NPI 1194011882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.