Active NPI
Melissa Makak, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1952052342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011619
- Practice address
- 55 Lexington Ave
New York, NY 10010-5585 - Phone
- (646) 312-4624
- NPI assigned
- Jan 17, 2022
- Last updated
- Jan 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011619 | NY | Primary |
Addresses
Primary practice location
55 Lexington Ave
New York, NY 10010-5585
Mailing address
1559 E 21St St
Brooklyn, NY 11210-5049
Phone (646) 420-7660
Other names 1
- Mr. Matthew Makak
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medicalrecords@baruch.cuny.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011619 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1952052342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 E 21ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112105049",
"telephone_number": "646-420-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105585",
"telephone_number": "646-312-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKAK",
"first_name": "MELISSA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "011619",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medicalrecords@baruch.cuny.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "55 Lexington Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100105585",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "MAKAK",
"prefix": "MR.",
"code": "5",
"type": "Other 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 Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.