Individual provider Active NPI

Melanie Roberts, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, PA
National Provider Identifier
1801767611
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033711 Issued in PA
Practice address
1885 Market St
Warren, PA 16365-1277
Phone
(814) 723-5545
NPI assigned
Sep 15, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP033711 PA Primary

Addresses

Primary practice location

1885 Market St
Warren, PA 16365-1277

Mailing address

1885 Market St
Warren, PA 16365-1277
Phone (814) 723-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114000882 PA Practitioner - Nurse Practitioner 9739670019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deerfield Behavioral Health of Warren, LLCGroup PAC ID 8325935661, 8 clinicians

Practice addresses (Care Compare)

1885 Market St
Warren, PA 16365-1277
Phone (814) 723-1832

734 E Main St
Bradford, PA 16701-3243
Phone (814) 817-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP033711PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Behavioral Health of Warren, LLC CurrentSince Oct 24, 2025 Accepting new patients
Children's Center for Treatment and Education CurrentSince Oct 24, 2025 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Jan 6, 2026 Accepting new patients
Childrens Center for Treatment and Education CurrentSince Oct 24, 2025 Accepting new patients
Pennsylvania Department of Human Services CurrentSince Jan 6, 2026 Accepting new patients

Locations

23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832

47 Beacon Light Way
Bradford, PA 16701

1885 Market St
Warren, PA 16365
Phone (716) 664-8510

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1801767611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651277",
            "telephone_number": "814-723-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651277",
            "telephone_number": "814-723-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MELANIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.