Active NPIIndividual providerSole proprietor

Dr. Lisa A Mellman, MD

Psychiatry & Neurology, Psychiatry in Ridgewood, New Jersey

NPI Number1629101282
Practice location
76 W Ridgewood Ave, Ridgewood, NJ 07450-3198
Fax
—
Last updated
January 22, 2026

Lisa A. Mellman is a Psychiatry & Neurology, Psychiatry based in Ridgewood, NJ. Lisa A. Mellman practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Lisa A. Mellman is 1629101282 and holds a License No. 154094-1 (NY). The current practice location address for Lisa A. Mellman is 76 W Ridgewood Ave, Ridgewood, NJ 07450-3198 and can be reached out via phone at 917-620-6010.

Provider Profile Details

NPI Number
1629101282
Provider Name
Lisa A. Mellman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
76 W Ridgewood Ave, Ridgewood, NJ 07450-3198
Phone Number
917-620-6010
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
January 22, 2026
Certification Date
January 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 W Ridgewood Ave
Ridgewood, NJ 07450-3198
Zip
07450-3198
Phone Number
917-620-6010
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
161 Fort Washington Ave
New York, NY 10032-3729
City
New York
State
NY
Zip
10032-3729
Phone Number
917-620-6010
Fax Number
212-305-1343

License Information

License Number
154094-1
License State
NY
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lisa A Mellman, MD?

The NPI number of Dr. Lisa A Mellman, MD is 1629101282. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa A Mellman, MD?

Dr. Lisa A Mellman, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 154094-1.

Where does Dr. Lisa A Mellman, MD practice?

The practice location is 76 W Ridgewood Ave, Ridgewood, NJ 07450-3198. The office can be reached at 917-620-6010 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629101282 directly on the NPPES registry website.

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