MELISSA PESKIN
NPI 1790187474
Psychologist - Clinical in New York, NY

Active since September 24, 2014Opted out of Medicare · through Oct 3, 2027
425 E 61ST ST, PENTHOUSE FLOOR, ROOM 1307, NEW YORK, NY 10065(212) 821-0770(212) 821-0994 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Peskin NPPES

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

MELISSA PESKIN (NPI 1790187474) is an individual clinical provider in New York, New York, licensed in New York (020740) and active in the NPI registry since September 2014. She has opted out of Medicare through October 3, 2027.

NPPES Registry Identity

NPI1790187474
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMELISSA PESKIN
Location Address425 E 61ST ST, PENTHOUSE FLOOR, ROOM 1307New York, NY 10065-8722
Mailing Address525 E 68th St, Box 200New York, NY 10065-4870 · (212) 821-0770 · Fax (212) 821-0994
Fax(212) 821-0994
Sole ProprietorNo
Enumeration DateSeptember 24, 2014
NPI 1790187474 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 · 020740
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.
425 E 61ST ST, New York, NY 10065

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Melissa Peskin 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 October 3, 2023 through October 3, 2027.

Opt-Out Effective DateOctober 3, 2023
Opt-Out In Effect ThroughOctober 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Internal Medicine
425 E 61ST ST
NEW YORK, NY 10065
Psychologist
425 E 61ST ST, PH FLOOR
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
425 E 61ST ST
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
425 E 61ST ST, 8TH FLOOR
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
425 E 61ST ST, 5TH FLOOR
NEW YORK, NY 10065
Internal Medicine (Pulmonary Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
425 E 61ST ST
NEW YORK, NY 10065
Nurse Practitioner (Family)
425 E 61ST ST, 5TH FLOOR
NEW YORK, NY 10065

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 Peskin's NPI number?

The NPI number for Melissa Peskin is 1790187474. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Melissa Peskin located?

Melissa Peskin practices at 425 E 61st St Penthouse Floor, Room 1307, New York, NY 10065. The listed phone number is (212) 821-0770.

What is Melissa Peskin's specialty?

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

Is Melissa Peskin enrolled in Medicare?

No. Melissa Peskin has opted out of Medicare through October 3, 2027. 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 Peskin was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.