MARYBETH MELENDEZ LCMHC
NPI 1417552175
Counselor - Mental Health in Staten Island, NY

Q: What is Marybeth Melendez's NPI number?

The NPI number for Marybeth Melendez is 1417552175. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Q: What is Marybeth Melendez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marybeth Melendez was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 01, 2020

374 MANOR ROAD STE 1, STATEN ISLAND, NY 10314(718) 840-8280(718) 987-4061 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2021, Dec 1, 2020 (2 updates tracked since 2020).

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About Marybeth Melendez Lcmhc NPPES

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

MARYBETH MELENDEZ LCMHC (NPI 1417552175) is an individual mental health provider in Staten Island, New York, licensed in New York (010766-01) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1417552175

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARYBETH MELENDEZCredential: LCMHC

Location Address374 MANOR ROAD STE 1Staten Island, NY 10314

Mailing Address374 Manor Road Ste 1Staten Island, NY 10314 · (718) 840-8280 · Fax (718) 987-4061

Phone(718) 840-8280

Fax(718) 987-4061

Sole ProprietorYes

Enumeration DateDecember 1, 2020

Last NPPES UpdateJune 28, 20212 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1417552175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 010766-01

374 MANOR ROAD STE 1, Staten Island, NY 10314

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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 Marybeth Melendez's NPI number?

The NPI number for Marybeth Melendez is 1417552175. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Marybeth Melendez located?

Marybeth Melendez practices at 374 Manor Road Ste 1, Staten Island, NY 10314. The listed phone number is (718) 840-8280.

What is Marybeth Melendez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marybeth Melendez was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.