DR. MELISSA M. ERTL PH.D.
NPI 1861110017
Psychologist - Clinical in New York, NY

Q: What is Melissa Ertl's NPI number?

The NPI number for Melissa Ertl is 1861110017. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Q: What is Melissa Ertl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Ertl was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 15, 2022

220 5TH AVE FL 11, NEW YORK, NY 10001(646) 980-7545 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2022, Oct 3, 2022, Aug 15, 2022 (3 updates tracked since 2022).

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About Dr. Melissa M. Ertl Ph.d. NPPES

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

DR. MELISSA M. ERTL PH.D. (NPI 1861110017) is an individual clinical provider in New York, New York, licensed in New York (025239) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1861110017

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MELISSA M. ERTLCredential: PH.D.

Location Address220 5TH AVE FL 11New York, NY 10001-8017

Mailing Address8 Stuyvesant Oval Apt 8aNew York, NY 10009-2435 · (608) 640-6661

Phone(646) 980-7545

Sole ProprietorYes

Enumeration DateAugust 15, 2022

Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration

NPPES CertifiedOctober 27, 2022

✔ NPI 1861110017 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 · 025239✔ Licensed in PA · PS019653

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.

220 5TH AVE FL 11, New York, NY 10001

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Other Providers at the Same Location NPPES 20

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