Individual provider Active NPI

Melinda Debell

  • Community/Behavioral Health Agency
  • Pompton Lakes, NJ
National Provider Identifier
1841660362
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
111140504 Issued in NJ
Practice address
16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone
(973) 835-6337
Fax
(973) 616-4688
NPI assigned
Sep 26, 2015
Last updated
Sep 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 111140504 NJ Primary

Addresses

Primary practice location

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

Mailing address

16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone (973) 835-6337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703000690 NJ Practitioner - Marriage and Family Therapist 2365986197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Counseling Center IncGroup PAC ID 6507904828, 3 clinicians

Practice addresses (Care Compare)

16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone (973) 835-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111140504NJMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Center Inc. CurrentSince Apr 18, 2024 Accepting new patients

Locations

16 Pompton Ave
Pompton Lakes, NJ 07442
Phone (973) 831-6866

Organizations & group practices 1

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": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443225600000",
    "number": "1841660362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-6337",
            "fax_number": "973-616-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-6337",
            "fax_number": "973-616-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELL",
        "first_name": "MELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "111140504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

Verify at the official NPI Registry.