MELISSA DONOVAN LMSW
NPI 1477130508
Counselor - Addiction (Substance Use Disorder) in New York, NY
About Melissa Donovan Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA DONOVAN LMSW (NPI 1477130508) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (107827) and active in the NPI registry since March 2021. She has opted out of Medicare through September 17, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Melissa Donovan Lmsw 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 September 17, 2023 through September 17, 2027.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Donovan's NPI number?
The NPI number for Melissa Donovan is 1477130508. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Melissa Donovan located?
Melissa Donovan practices at 1369 Broadway, New York, NY 10018. The listed phone number is (212) 268-8830.
What is Melissa Donovan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Melissa Donovan enrolled in Medicare?
No. Melissa Donovan has opted out of Medicare through September 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Melissa Donovan was last updated on March 25, 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.
# Melissa Donovan, LMSW · NPI 1477130508
Addiction (Substance Use Disorder) provider in New York, New York. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1477130508 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 107827 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1369 BROADWAY, New York, NY 10018-7200
- **Phone:** (212) 268-8830
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 17, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477130508) · Data from the CMS NPPES public registry.