Active NPI
Melinda Pearson, MSW
- Counselor
- Hyde Park, NY
National Provider Identifier
1760530877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 49 Rogers Rd
Hyde Park, NY 12538-2935 - Phone
- (914) 204-1597
- Fax
- (845) 698-0155
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
49 Rogers Rd
Hyde Park, NY 12538-2935
Mailing address
49 Rogers Rd
Hyde Park, NY 12538-2935
Phone (914) 204-1597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02753102 | Medicaid | NY |
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760530877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 ROGERS RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125382935",
"telephone_number": "914-204-1597",
"fax_number": "845-698-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 ROGERS RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125382935",
"telephone_number": "914-204-1597",
"fax_number": "845-698-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MELINDA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02753102",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.