DR. MELISSA DACKIS PH.D.
NPI 1598210221
Psychologist - Clinical in Bronx, NY

Q: What is Melissa Dackis's NPI number?

The NPI number for Melissa Dackis is 1598210221. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Melissa Dackis's specialty?

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

Q: Is Melissa Dackis enrolled in Medicare?

No. Melissa Dackis has opted out of Medicare through December 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melissa Dackis was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 23, 2016Opted out of Medicare · through Dec 2, 2026

3340 BAINBRIDGE AVE, BRONX, NY 10467(718) 696-3011 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Melissa Dackis Ph.d. NPPES

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

DR. MELISSA DACKIS PH.D. (NPI 1598210221) is an individual clinical provider in Bronx, New York, licensed in New York (021163) and active in the NPI registry since August 2016. She has opted out of Medicare through December 2, 2026.

NPPES Registry Identity

NPI1598210221

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MELISSA DACKISCredential: PH.D.

Location Address3340 BAINBRIDGE AVEBronx, NY 10467-2802

Mailing Address33 W 88th St, Apt 5New York, NY 10024-2537 · (908) 930-0412

Phone(718) 696-3011

Sole ProprietorNo

Enumeration DateAugust 23, 2016

✔ NPI 1598210221 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 NY · 021163

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.

3340 BAINBRIDGE AVE, Bronx, NY 10467

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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 Dackis Ph.d. 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 2, 2020 through December 2, 2026.

Opt-Out Effective DateDecember 2, 2020

Opt-Out In Effect ThroughDecember 2, 2026Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 19

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

EVA LEVY

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 920-4653

DR. JORGE LUIS AGUILAR MD, PHD

Psychiatry & Neurology (Psychiatry)

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 920-3020

DR. LISA HUTCHISON WEISS M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 696-3011

DOMINIQUE LEGROS

Student in an Organized Health Care Education/Training Program

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 696-3016

DR. LAURA GOORIN PH.D.

Psychologist (Clinical)

3340 BAINBRIDGE AVE, MONTEFIORE MEDIAL CENTER CHILD ANNEX
BRONX, NY 10467

Bronx County (617) 997-6014

DENA KLEIN PH.D.

Psychologist (Clinical)

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 696-3038

DR. RAJIV BHATIA D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 696-3024

KIYOSHI NAKAMURA MD

General Practice

3340 BAINBRIDGE AVE
BRONX, NY 10467

Bronx County (718) 696-3018

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 Dackis's NPI number?

The NPI number for Melissa Dackis is 1598210221. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Melissa Dackis located?

Melissa Dackis practices at 3340 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 696-3011.

What is Melissa Dackis's specialty?

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

Is Melissa Dackis enrolled in Medicare?

No. Melissa Dackis has opted out of Medicare through December 2, 2026. 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 Dackis was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.