Individual provider Active NPI

Marilyn J. Meese, PH.D.

  • Clinical Psychologist
  • Hastings on Hudson, NY
National Provider Identifier
1972636439
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010052 Issued in NY
Practice address
1 North St
Ste. 2E
Hastings on Hudson, NY 10706-1542
Phone
(914) 478-2731
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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 010052 NY Primary

Addresses

Primary practice location

1 North St
Ste. 2E
Hastings on Hudson, NY 10706-1542

Mailing address

465 Broadway
Apt. 6D
Hastings-on-Hudson, NY 10706
Phone (914) 478-2731

Other identifiers 1

IdentifierTypeStateIssuer
02654497MedicaidNY

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
010052NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1972636439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "address_2": "APT. 6D",
            "city": "HASTINGS-ON-HUDSON",
            "state": "NY",
            "postal_code": "10706",
            "telephone_number": "914-478-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH ST",
            "address_2": "STE. 2E",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061542",
            "telephone_number": "914-478-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEESE",
        "first_name": "MARILYN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02654497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.