PROF. MELISSA M AMICK PH.D.
NPI 1619909108
Clinical Neuropsychologist in Pawtucket, RI

Q: What is Melissa Amick's NPI number?

The NPI number for Melissa Amick is 1619909108. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Melissa Amick's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Melissa Amick enrolled in Medicare?

No. Melissa Amick has opted out of Medicare through May 9, 2028. 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 Amick was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 07, 2006Opted out of Medicare · through May 9, 2028

MEMORIAL HOSPITAL OF RHODE ISLAND, 111 BREWSTER STREET, PAWTUCKET, RI 02860(401) 729-2326(401) 729-2243 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prof. Melissa M Amick Ph.d. NPPES

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

PROF. MELISSA M AMICK PH.D. (NPI 1619909108) is an individual clinical neuropsychologist in Pawtucket, Rhode Island, licensed in Rhode Island (PS00863) and active in the NPI registry since July 2006. She has opted out of Medicare through May 9, 2028.

NPPES Registry Identity

NPI1619909108

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NamePROF. MELISSA M AMICKCredential: PH.D.

Location AddressMEMORIAL HOSPITAL OF RHODE ISLAND, 111 BREWSTER STREETPawtucket, RI 02860

Mailing AddressMemorial Hospital Of Rhode Island, 111 Brewster StreetPawtucket, RI 02860 · (401) 729-3163 · Fax (401) 729-2243

Phone(401) 729-2326

Fax(401) 729-2243

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateMay 5, 2008

✔ NPI 1619909108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in RI · PS00863

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License PS00863 (RI)

MEMORIAL HOSPITAL OF RHODE ISLAND, Pawtucket, RI 02860

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Other Identifiers 4

Other29362-4RI · Blue Cross Number

Other412432RI · Bluechip Number

Medicare UPINQ34958RI

Medicare PIN007057175RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Prof. Melissa M Amick 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 May 9, 2026 through May 9, 2028.

Opt-Out Effective DateMay 9, 2026

Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

MEMORIAL HOSPITAL

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