Active NPI
Melissa R Fogel, LLC
- Clinical Psychologist
- West Palm Beach, FL
National Provider Identifier
1689465536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MELISSA R FOGEL, LLC
- Practice address
- 2161 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6607 - Phone
- (941) 809-8359
- NPI assigned
- May 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa R Fogel, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (941) 809-8359
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2161 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6607
Mailing address
747 New Jersey St
West Palm Beach, FL 33401-6643
Phone (941) 809-8359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- West Palm Beach, FL
- NPI 1558670679
-
- Clinical Psychologist
- Boca Raton, FL
- NPI 1609077718
-
- Clinical Psychologist
- Coeur d'Alene, ID
- NPI 1700895893
-
- Clinical Psychologist
- Coeur d'Alene, ID
- NPI 1982617189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1689465536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 NEW JERSEY ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334016643",
"telephone_number": "941-809-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096607",
"telephone_number": "941-809-8359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA R FOGEL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-12",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "FOGEL",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "941-809-8359",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.