Active NPI
Janine Aliya Tiago de Melo, PHD
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1861569477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0139751
- Practice address
- 1651 Third Ave
Suite 201
New York, NY 10128 - Phone
- (212) 427-4044
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0139751 | NY | Primary |
| Clinical Psychologist | 103TC0700X | 0139751 | NY |
Addresses
Primary practice location
1651 Third Ave
Suite 201
New York, NY 10128
Mailing address
51 Seventh Ave South
Apt 5C
New York, NY 10014
Phone (212) 366-9349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02151206 | Medicaid | NY |
Other names 1
- Dr. Janine A Tiago
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Sep 5, 2018 through Sep 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013975 | NY | MD | Mental Health Counselor |
| 0139751 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861569477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 SEVENTH AVE SOUTH",
"address_2": "APT 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10014",
"telephone_number": "212-366-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 THIRD AVE",
"address_2": "SUITE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-427-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIAGO DE MELO",
"first_name": "JANINE",
"middle_name": "ALIYA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "0139751",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0139751",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02151206",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANINE",
"last_name": "TIAGO",
"middle_name": "A",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.