Melissa Jill Spodek, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

017907 Issued in NY

Practice address

6725 188TH St
Fresh Meadows, NY 11365-3767

Phone

(718) 454-6460

Fax

(718) 454-0661

NPI assigned

Jan 9, 2009

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

Practice roles

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.

• Karen Rothschild OT, LLC

  • Occupational Therapist
  • Fresh Meadows, NY
  • NPI 1194245134
  NPD (past)
• Little Meadows Early Childhood Center

  • Early Intervention Provider Agency
  • Fresh Meadows, NY
  • NPI 1811147978
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1881831006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 AMHERST DR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981028",
            "telephone_number": "516-612-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 188TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653767",
            "telephone_number": "718-454-6460",
            "fax_number": "718-454-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPODEK",
        "first_name": "MELISSA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Abc Steps Corp
• Kezia Spence, MD
• Kathleen Vivian Spinelle
• Eleni Spiratos
• SPK Early Development Inc
• Sanath Srivastava, MD
• SSC Transportation Company Inc.
• Ann Marie Staines
• Cecilia Stanolevich, P.T.
• Christine Stanolevich

• Psychologist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.