Individual provider Active NPI

Melissa Jo Warman, PH.D.

  • Clinical Psychologist
  • Metuchen, NJ
National Provider Identifier
1952425860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00398600 Issued in NJ
Practice address
247 Main St
Metuchen, NJ 08840-2727
Phone
(732) 689-5213
Fax
(435) 518-6463
NPI assigned
Mar 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35SI00398600 NJ Primary

Addresses

Primary practice location

247 Main St
Metuchen, NJ 08840-2727

Mailing address

168 High St
Metuchen, NJ 08840-2346
Phone (732) 689-5213

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 1, 2014 through May 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00398600NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952425860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 HIGH ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402346",
            "telephone_number": "732-689-5213",
            "fax_number": "435-518-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402727",
            "telephone_number": "732-689-5213",
            "fax_number": "435-518-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMAN",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00398600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.