Active NPI
Michael Melmed, PSY.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1912309857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021496
- Practice address
- 37 Washington SQ W Apt 1B
New York, NY 10011-9122 - Phone
- (347) 620-4924
- NPI assigned
- Sep 23, 2014
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021496 | NY | Primary |
Addresses
Primary practice location
37 Washington SQ W Apt 1B
New York, NY 10011-9122
Mailing address
37 Washington SQ W
Suite 1B
New York, NY 10011-9122
Phone (347) 620-4924
Other practice location 1
18 E 16th St
Suite 503
New York, NY 10003-3111
Phone (347) 620-4924
Other practice location 2
37 Washington Sq W Apt 1B
New York, NY 10011-9122
Phone (347) 620-4924
Other practice location 3
37 Wash Sq. West
Suite 1B
New York, NY 10003
Phone (347) 620-4924
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021496 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912309857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WASHINGTON SQ W",
"address_2": "SUITE 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100119122",
"telephone_number": "347-620-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 WASHINGTON SQ W APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100119122",
"telephone_number": "347-620-4924"
}
],
"practiceLocations": [
{
"address_1": "18 E 16th St",
"address_2": "Suite 503",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100033111",
"country_code": "US",
"telephone_number": "347-620-4924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 Washington Sq W Apt 1B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100119122",
"country_code": "US",
"telephone_number": "347-620-4924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 Wash Sq. West",
"address_2": "Suite 1B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10003",
"country_code": "US",
"telephone_number": "347-620-4924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELMED",
"first_name": "MICHAEL",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.