MRS. MELISSA ANN TILLMAN PH.D.
NPI 1790095784
Psychologist - Clinical in Merrick, NY

Active since October 08, 2010PECOS Enrolled
2174 HEWLETT AVE, MERRICK, NY 11566(516) 858-2877 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Feb 6, 2019, Feb 24, 2016 (3 updates tracked since 2016).

About Mrs. Melissa Ann Tillman Ph.d. NPPES

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

MRS. MELISSA ANN TILLMAN PH.D. (NPI 1790095784) is an individual clinical provider in Merrick, New York, licensed in New York (020158) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790095784
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. MELISSA ANN TILLMANCredential: PH.D.
Location Address2174 HEWLETT AVEMerrick, NY 11566-3606
Mailing Address1859 Leonard LnMerrick, NY 11566-4933 · (516) 721-7694
Sole ProprietorNo
Enumeration DateOctober 8, 2010
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
NPI 1790095784 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 · 020158 Licensed in NY · 20158
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.
2174 HEWLETT AVE, Merrick, NY 11566

Other Names 1

Former Name (1)Ms. Melissa Ann Strilcic Phd

Other Identifiers 2

Other1003991019NY · Agency's Npi #
Other00745088NY · Agency's Medicaid Mmis #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Melissa Ann Tillman Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11566 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 12

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

Social Worker (Clinical)
2174 HEWLETT AVE, SUITE 212
MERRICK, NY 11566
Specialist
2174 HEWLETT AVE, SUITE 105
MERRICK, NY 11566
Social Worker (Clinical)
2174 HEWLETT AVE, STE 220
MERRICK, NY 11566
Clinical Neuropsychologist
2174 HEWLETT AVE
MERRICK, NY 11566
Podiatrist
2174 HEWLETT AVE, STE 202
MERRICK, NY 11566
Social Worker
2174 HEWLETT AVE
MERRICK, NY 11566
Dentist (General Practice)
2174 HEWLETT AVE
MERRICK, NY 11566
Social Worker (Clinical)
2174 HEWLETT AVE
MERRICK, NY 11566

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 Tillman's NPI number?

The NPI number for Melissa Tillman is 1790095784. It was assigned to this individual provider in the NPPES registry on October 8, 2010. The provider is also known as Ms. Melissa Ann Strilcic Phd.

Where is Melissa Tillman located?

Melissa Tillman practices at 2174 Hewlett Ave, Merrick, NY 11566. The listed phone number is (516) 858-2877.

What is Melissa Tillman's specialty?

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

Is Melissa Tillman enrolled in Medicare?

Yes. Melissa Tillman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Tillman was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.