Melyssa M Mandelbaum
Psychologist, Clinical in Fair Lawn, New Jersey
1861007130- Practice location
- 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103
- Phone
- 973-997-6679
- Fax
- —
- Last updated
- December 12, 2023
Melyssa Mera Mandelbaum is a Psychologist, Clinical based in Fair Lawn, NJ. Melyssa Mera Mandelbaum practices in Fair Lawn, NJ. The NPI Number for Melyssa Mera Mandelbaum is 1861007130 and holds a License No. 025742 (NY). The current practice location address for Melyssa Mera Mandelbaum is 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103 and can be reached out via phone at 973-997-6679.
Provider Profile Details
- NPI Number
- 1861007130
- Provider Name
- Melyssa Mera Mandelbaum
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103
- Phone Number
- 973-997-6679
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Other Names
- Melyssa Mera Luxenberg (Former Name)
- Provider Enumeration Date
- September 13, 2020
- Last Update Date
- December 12, 2023
- Certification Date
- December 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13-47 Comerford Pl
Fair Lawn, NJ 07410-5103 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-5103
- Phone Number
- 973-997-6679
Provider Business Mailing Address Details
- Address
- 13-47 Comerford Pl
Fair Lawn, NJ 07410-5103 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-5103
- Phone Number
- 973-997-6679
License Information
- License Number
- 025742
- License State
- NY
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Melyssa M Mandelbaum?
The NPI number of Melyssa M Mandelbaum is 1861007130. It was assigned on September 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Melyssa M Mandelbaum?
Melyssa M Mandelbaum is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 025742.
Where does Melyssa M Mandelbaum practice?
The practice location is 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103. The office can be reached at 973-997-6679 (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 1861007130 directly on the NPPES registry website.