DR. MELISSA MARIE SISCO PHD
NPI 1225678071
Psychologist - Clinical in Raleigh, NC

Q: What is Melissa Sisco's NPI number?

The NPI number for Melissa Sisco is 1225678071. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Q: What is Melissa Sisco's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Melissa Sisco enrolled in Medicare?

No. Melissa Sisco has opted out of Medicare through December 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Melissa Sisco was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2020Opted out of Medicare · through Dec 9, 2026

8303 SIX FORKS RD STE 207, RALEIGH, NC 27615(919) 245-7791 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2021, Jan 9, 2020 (2 updates tracked since 2020).

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About Dr. Melissa Marie Sisco Phd NPPES

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

DR. MELISSA MARIE SISCO PHD (NPI 1225678071) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (103360) and active in the NPI registry since January 2020. She has opted out of Medicare through December 9, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225678071

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MELISSA MARIE SISCOCredential: PHD

Location Address8303 SIX FORKS RD STE 207Raleigh, NC 27615-3094

Mailing Address3612 Creekside DrGastonia, NC 28056-7118 · (704) 915-8770

Phone(919) 245-7791

Sole ProprietorYes

Enumeration DateJanuary 9, 2020

Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1225678071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 103360

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8303 SIX FORKS RD STE 207, Raleigh, NC 27615

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Melissa Marie Sisco Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2020 through December 9, 2026.

Opt-Out Effective DateDecember 9, 2020

Opt-Out In Effect ThroughDecember 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DR. ALEXANDRA BROUSTOVETSKAIA PH.D.

Psychologist (Counseling)