Individual provider Active NPI

Melissa Shuman Paretsky, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1841931458
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
022027 Issued in NY
Practice address
185 W End Ave Apt 1E
New York, NY 10023-5540
Phone
(917) 828-5163
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 022027 NY
Adult Development & Aging Psychologist 103TA0700X 022027 NY
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical Psychologist 103TC0700X 022027 NY
Clinical Child & Adolescent Psychologist 103TC2200X
Health Psychologist 103TH0004X 022027 NY
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X
Group Psychotherapy Psychologist 103TP2701X
Rehabilitation Psychologist 103TR0400X 022027 NY
Psychologist 103T00000X 022027 NY Primary

Addresses

Primary practice location

185 W End Ave Apt 1E
New York, NY 10023-5540

Mailing address

185 W End Ave Apt 1E
New York, NY 10023-5540
Phone (917) 828-5163

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.therapyportal.com/p/msppsych/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220505001796 NY Practitioner - Clinical Psychologist 1456748748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 W End Ave
Apt 1E
New York, NY 10023-5540
Phone (917) 828-5163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
022027NYMDAdult Development & Aging Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MSP Psychology PLLC Clinical Neuropsychologist CurrentSince May 1, 2024 Accepting new patients

Locations

185 W End Ave
Apt 1E
New York, NY 10023
Phone (212) 362-5920

119 W 72nd St
New York, NY 10023
Phone (646) 662-9123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1841931458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W END AVE APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235540",
            "telephone_number": "917-828-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W END AVE APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235540",
            "telephone_number": "917-828-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARETSKY",
        "first_name": "MELISSA",
        "middle_name": "SHUMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "022027",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "022027",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022027",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "022027",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NY",
            "license": "022027",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.therapyportal.com/p/msppsych/",
            "affiliation": "N",
            "endpointDescription": "Therapy Notes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "185 W End Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100235539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.