MRS. MELISSA DOROTHY BERTUCCIO (NPI# 1295346831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295346831 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA DOROTHY BERTUCCIO |
| Practice Address |
75 Crystal Run Rd Ste 201 Middletown NY 10941-7010 |
| Mailing Address |
75 Crystal Run Rd Middletown NY 10941-7000 |
| Practice Telephone | 8456924391 |
| Mailing Telephone | 8456924391 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
75 CRYSTAL RUN RD STE 201 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750874079 | Maryann Felicia Massillio | Nutritionist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2018-06-11 |
| 1912527508 | Carolyn Murrell | Occupational Therapy Assistant | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2020-04-23 |
| 1467081729 | Kimberly N Gove | Student in an Organized Health Care Education/Training Program | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2020-04-07 |
| 1457982670 | Rita Marie Lamasney | Speech-Language Pathologist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2020-01-27 |
| 1649810532 | Lisa Kalitka | Physical Therapist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2020-01-08 |
| 1851930507 | Brianne L Kelly | Occupational Therapy Assistant | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2019-12-29 |
| 1659916153 | Deborah Sue Siomkos | Specialist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2019-11-08 |
| 1841833282 | Gabrielle Elizabeth Roberts | Specialist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2019-10-17 |
| 1447800149 | Jamie Nicole Fischer | Specialist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2019-09-13 |
| 1154970952 | Pam Sutherland | Specialist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2019-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554791 | Emily Neubauer | Psychologist | 1811 Lake Seymour Dr, Middletown, DE 19709-4686 | 2020-10-08 |
| 1225648645 | Jennifer T. Mascolo | Psychologist | 18 Kings Hwy Ste 109, Middletown, NJ 07748-2509 | 2020-08-01 |
| 1982213252 | Ashley Manion | Psychologist | 1817 Lake Seymour Dr, Middletown, DE 19709-4686 | 2020-07-23 |
| 1609290618 | Kimberly Tamaska | Psychologist | 1300 Oxford State Rd, Middletown, OH 45044-7580 | 2014-02-11 |
| 1780862714 | Chet Hadley | Psychologist | 504 S Broad St, Middletown, DE 19709-1443 | 2008-02-01 |
| 1649717174 | Allen Glassmire | Psychologist | 1516 1st Ave, Middletown, OH 45044-4124 | 2017-01-23 |
| 1174067300 | Melodie Metze | Psychologist | 1 Donham Plz, Middletown, OH 45042-1932 | 2016-12-07 |
| 1114460003 | Douglas Miller Jr. | Psychologist | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-11-23 |
| 1902354004 | Lisa Lopez | Psychologist | 1210 S Verity Pkwy, Middletown, OH 45044-5611 | 2016-09-17 |
| 1598123093 | Ronald Cameron Jr. | Psychologist | 1 Donham Plz Fl 4, Middletown, OH 45042-1932 | 2016-01-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on MRS. MELISSA DOROTHY BERTUCCIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.