Active NPI
Sharon Melnick, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1992060107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017744
- Practice address
- 171 Madison Ave
Ste 1000
New York, NY 10016-5110 - Phone
- (212) 842-4638
- NPI assigned
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017744 | NY | Primary |
Addresses
Primary practice location
171 Madison Ave
Ste 1000
New York, NY 10016-5110
Mailing address
160 Riverside Blvd
6A
New York, NY 10069-0701
Phone (212) 842-4638
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017744 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1992060107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 RIVERSIDE BLVD",
"address_2": "6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690701",
"telephone_number": "212-842-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MADISON AVE",
"address_2": "STE 1000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165110",
"telephone_number": "212-842-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNICK",
"first_name": "SHARON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.