Individual provider Active NPI

Michael Melmed, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1912309857
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021496 Issued in NY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021496NYMDSpeech-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

Verify at the official NPI Registry.