Melita Thais Stancil, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021584 Issued in NY

Practice address

3225 90TH St Apt 508
East Elmhurst, NY 11369-2383

Phone

(803) 467-9628

NPI assigned

Nov 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dr. Melita Psychological Services, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • New York, NY
  • NPI 1205443066
  NPD

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1699218321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 90TH ST APT 508",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692383",
            "telephone_number": "803-467-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 90TH ST APT 508",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692383",
            "telephone_number": "803-467-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIL",
        "first_name": "MELITA",
        "middle_name": "THAIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhadira Alexandra Soto Chipana
• Paul Spatzner, DDS
• Speedy Revenue Care LLC
• Alvin Spindler, D.D.S.
• Sr Medical Radiology PC
• Stand-Up MRI of East Elmhurst, PC
• Juliana Straus, MS,OTR/L
• Froilan Suarez, DMSC, MS, PA-C
• Afsana Sultana, PHARMD
• Syed Syedain, RPH

• Clinical Psychologist in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.