Individual provider Active NPI

Melissa Livney, PSYD

  • Psychologist
  • Bryn Mawr, PA
National Provider Identifier
1851627111
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016641 Issued in PA
Practice address
1062 E Lancaster Ave
Suite 15-G
Bryn Mawr, PA 19010-1552
Phone
(484) 534-8815
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016641 PA Primary

Addresses

Primary practice location

1062 E Lancaster Ave
Suite 15-G
Bryn Mawr, PA 19010-1552

Mailing address

1062 E Lancaster Ave
Suite 15-G
Bryn Mawr, PA 19010-1552
Phone (484) 534-8815

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000507 PA Practitioner - Clinical Psychologist 1850439597 Reassigns benefits to 1 organization
Practice locations: Bryn Mawr, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1062 E Lancaster Ave
15G
Bryn Mawr, PA 19010-1565
Phone (484) 534-8815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group Psychologist CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Melissa Livney PastSince Nov 14, 2013 Accepting new patients

Locations

3535 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 746-6700

Organizations & group practices 4

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": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1851627111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE",
            "address_2": "SUITE 15-G",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101552",
            "telephone_number": "484-534-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE",
            "address_2": "SUITE 15-G",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101552",
            "telephone_number": "484-534-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVNEY",
        "first_name": "MELISSA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.