Philip Melnekoff, PH.D.,PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PHILIP MELNEKOFF, PH.D.,PC

Practice address

108 Terryville Road
Port Jefferson Station, NY 11776-0248

Phone

(631) 928-2349

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Philip Melnekoff, PH.D.NPI 1013129519

Title

Licensed Psychologist

Phone

(631) 928-2349

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Melnekoff, PH.D.

  • Clinical Psychologist
  • Port Jefferson Station, NY
  • NPI 1013129519
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1770853236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TERRYVILLE ROAD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760248",
            "telephone_number": "631-928-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TERRYVILLE ROAD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760248",
            "telephone_number": "631-928-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP MELNEKOFF, PH.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "MELNEKOFF",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-928-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter a Klein, MD, Faad, PC
• Maxine Patricia Peters, R.N.
• Samantha Petie-Judge
• Ashley Anne Petito, LCSW
• Mark Edward Petruzzi, L.AC., L.M.T.
• Natasha Phillips, LPN
• Danielle Philp
• Phyt, Inc.
• Nicolette Picarello, PHARMD
• Vicenta Pichon, RN

• Clinical Psychologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Dec 30, 2011; 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.

Verify at the official NPI Registry.