Melanie P Ricaurte, PSY.D

Key facts

NPI

1982016374

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

05428 (MD)

Practice address

50 W Montgomery Ave Ste 300
Rockville, MD 20850-4244

Phone

(240) 686-5390

NPI assigned

May 20, 2014

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harmony Holistic LLC Clinical Psychologist · Rockville, MD · NPI 1407321326
  NPD Authorized official CLINICAL
• Venus & Mars Psychotherapy, L.L.C. Mental Health Clinic/Center (Including Community Mental Health Center) · Rockville, MD · NPI 1245853282
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 5, 2023.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1982016374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W MONTGOMERY AVE STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504244",
            "telephone_number": "240-686-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MONTGOMERY AVE STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504244",
            "telephone_number": "240-686-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICAURTE",
        "first_name": "MELANIE",
        "middle_name": "P",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Rockville, MD · Clinical Psychologist in Maryland