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DR. MARK V. MELLINGER PHD
NPI 1629069711
Psychologist - Clinical in New York, NY

Active since October 29, 2005PECOS EnrolledAccepts Medicare Assignment
680 W END AVE, SUITE 1A, NEW YORK, NY 10025(212) 864-2436 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark V. Mellinger Phd NPPES

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

DR. MARK V. MELLINGER PHD (NPI 1629069711) is an individual clinical provider in New York, New York, licensed in New York (006704-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1629069711
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK V. MELLINGERCredential: PHD
Location Address680 W END AVE, SUITE 1ANew York, NY 10025-6815
Mailing Address1155 Warburton Avenue, Apt. 9tYonkers, NY 10701-1018 · (914) 613-4840
Phone(212) 864-2436
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 29, 2005
Last NPPES UpdateJanuary 27, 2011
✔ NPI 1629069711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NY · 006704-1✔ Licensed in CT · 002093
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.
680 W END AVE, New York, NY 10025
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Other Identifiers 3

Other145203000NY · Mis
Medicare ID-Type UnspecifiedV22091NY
Medicaid00685456NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark V. Mellinger Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688608334
PECOS Enrollment IDI20050922000592
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 9

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

DR. MICHAEL FRANK LAIKIN M.D.
Psychiatry & Neurology (Psychiatry)
680 W END AVE, SUITE 1E
NEW YORK, NY 10025
New York County (212) 678-5766
MS. JEANNE PANCAMO NEWHOUSE NCPSYA
Specialist
680 W END AVE, SUITE 1A
NEW YORK, NY 10025
New York County (212) 866-3669
MR. JOAO VIEIRA SILVESTRE MS, LCSW
Social Worker (Clinical)
680 W END AVE, SUITE #1B
NEW YORK, NY 10025
New York County (212) 362-5413
MR. NICHOLAS M PIOMBINO LCSW
Social Worker (Clinical)
680 W END AVE, SUITE 1F
NEW YORK, NY 10025
New York County (212) 316-1871
DR. JOAN ELLEN LAVENDER PSY. D.
Psychologist
680 W END AVE, 1B
NEW YORK, NY 10025
New York County (212) 866-0461
MS. SHARON B. SHAW MSW
Social Worker (Clinical)
680 W END AVE, SUITE 1F
NEW YORK, NY 10025
New York County (212) 222-8924
DR. DEBORAH BARBARA DICKSTEIN M.D.
Psychiatry & Neurology (Psychiatry)
680 W END AVE, SUITE 1E
NEW YORK, NY 10025
New York County (212) 665-3785
MRS. BONNIE ELLEN GITLIN LCSW
Social Worker (Clinical)
680 W END AVE, SUITE 1E
NEW YORK, NY 10025
New York County (212) 665-6249

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 Mark Mellinger's NPI number?

The NPI number for Mark Mellinger is 1629069711. It was assigned to this individual provider in the NPPES registry on October 29, 2005.

Where is Mark Mellinger located?

Mark Mellinger practices at 680 W End Ave Suite 1A, New York, NY 10025. The listed phone number is (212) 864-2436.

What is Mark Mellinger's specialty?

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

Is Mark Mellinger enrolled in Medicare?

Yes. Mark Mellinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Mellinger was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.