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MELISSA BRUBAKER CRNP
NPI 1174957781
Nurse Practitioner - Psychiatric/Mental Health in Bala Cynwyd, PA

Active since August 30, 2013
191 PRESIDENTIAL BLVD STE W3, BALA CYNWYD, PA 19004(215) 550-1614(445) 201-3851 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2026, Apr 14, 2024, Jun 16, 2023 and 5 more (8 updates tracked since 2019).

About Melissa Brubaker Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA BRUBAKER CRNP (NPI 1174957781) is an individual psychiatric/mental health provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (SP020670) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1174957781
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA BRUBAKERCredential: CRNP
Location Address191 PRESIDENTIAL BLVD STE W3Bala Cynwyd, PA 19004-1205
Mailing Address191 Presidential Blvd Ste W3Bala Cynwyd, PA 19004-1205 · (215) 550-1614 · Fax (445) 201-3851
Phone(215) 550-1614
Fax(445) 201-3851
Sole ProprietorYes
Enumeration DateAugust 30, 2013
Last NPPES UpdateMarch 29, 20268 updates tracked since enumeration
NPPES CertifiedMarch 29, 2026
✔ NPI 1174957781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP020670
191 PRESIDENTIAL BLVD STE W3, Bala Cynwyd, PA 19004
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROOTED MIND PSYCHIATRIC SERVICES, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
191 PRESIDENTIAL BLVD STE W3
BALA CYNWYD, PA 19004
Montgomery County (215) 550-1614
ROSEMARIE REID MHS, MSS, LSW
Social Worker (Clinical)
191 PRESIDENTIAL BLVD STE W3
BALA CYNWYD, PA 19004
Montgomery County (215) 268-6056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Brubaker's NPI number?

The NPI number for Melissa Brubaker is 1174957781. It was assigned to this individual provider in the NPPES registry on August 30, 2013.

Where is Melissa Brubaker located?

Melissa Brubaker practices at 191 Presidential Blvd Ste W3, Bala Cynwyd, PA 19004. The listed phone number is (215) 550-1614.

What is Melissa Brubaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Melissa Brubaker was last updated on March 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.