Melissa Modica

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

103K000000X Issued in NY

Practice address

9 Calico Tree Road
Hauppauge, NY 11788

Phone

(516) 695-1918

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1831541440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALICO TREE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882623",
            "telephone_number": "516-695-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALICO TREE ROAD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "516-695-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODICA",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "103K000000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Miller, M.D., M.P.H.
• Stephen J Miro, P.A.
• Vivien Misshula, LMSW
• William Joseph Mitrus, DC CCSP
• MK Spine and Joint Rehab, P.C.
• Victoria Moir, MHC-LP
• Melissa Molinari, MSN, FNP, ONC
• Montefiore Medical Center
• Irene Marie Monteleone
• Michelle Montijo, RN

• Behavior Analyst in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.