PHILIP MELNEKOFF, PH.D.,PC
NPI 1770853236
Psychologist - Clinical in Port Jefferson Station, NY
About Philip Melnekoff, Ph.d.,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP MELNEKOFF, PH.D.,PC (NPI 1770853236) is a healthcare organization registered as a clinical in Port Jefferson Station, New York and active in the NPI registry since December 2011. The organization lists Philip Melnekoff, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Philip Melnekoff, Ph.d.,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Philip Melnekoff, Ph.D.,pc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Port Jefferson Station, NY 11776
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Philip Melnekoff, Ph.D.,pc's NPI number?
The NPI number for Philip Melnekoff, Ph.D.,pc is 1770853236. It was assigned to this organization in the NPPES registry on December 30, 2011.
Where is Philip Melnekoff, Ph.D.,pc located?
Philip Melnekoff, Ph.D.,pc is located at 108 Terryville Road, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-2349.
What is Philip Melnekoff, Ph.D.,pc's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Philip Melnekoff, Ph.D.,pc enrolled in Medicare?
Yes. Philip Melnekoff, Ph.D.,pc is registered in the Medicare PECOS enrollment system.
When is Philip Melnekoff, Ph.D.,pc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Philip Melnekoff, Ph.D.,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Philip Melnekoff, Ph.D.,pc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Philip Melnekoff, Ph.D.,pc was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Philip Melnekoff, Ph.d.,pc · NPI 1770853236
Clinical organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since December 30, 2011.
## Identity
- **NPI:** 1770853236 (Entity type: Organization)
- **Enumerated:** December 30, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Philip Melnekoff, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 108 TERRYVILLE ROAD, Port Jefferson Station, NY 11776-0248
- **Phone:** (631) 928-2349
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1770853236) · Data from the CMS NPPES public registry.