DR. JANINE ALIYA TIAGO DE MELO


Address: 1651 Third Ave, Suite 201, New York, NY 10128
Phone: 2124274044

DR. JANINE ALIYA TIAGO DE MELO (NPI# 1861569477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861569477
Entity Type Individual
Full Name DR. JANINE ALIYA TIAGO DE MELO
Other Name DR. JANINE A TIAGO
Credential PHD
Practice Address 1651 Third Ave
Suite 201
New York
NY 10128
Mailing Address 51 Seventh Ave South
Apt 5c
New York
NY 10014
Practice Telephone 2124274044
Mailing Telephone 2123669349
Enumeration Date 2006-11-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103G00000X Clinical Neuropsychologist 0139751 NY Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
0139751 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02151206 05

Office Location

Street Address 1651 THIRD AVE
SUITE 201
City NEW YORK
State NY
Zip Code 10128

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NPI Name Taxonomy Address Enumeration
1780968032 Jordana I. Schein-levi Social Worker 1651 Third Ave, New York, NY 10128 2011-10-05

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922656875 Kouros Emami Clinical Neuropsychologist 525 East 71st St., 5th Floor, New York, NY 10021 2019-09-03
1720633860 Emily Kurlansik Clinical Neuropsychologist 300 W 55th St Apt 6c, New York, NY 10019-5164 2019-08-06
1750860144 Linda Cristina Calderon Clinical Neuropsychologist 635 W 165th St Rm 633a, New York, NY 10032-3724 2018-08-07
1306349493 Abhishek Jaywant Clinical Neuropsychologist 525 E 68th St # F-1699g, New York, NY 10065-4870 2018-03-14
1154829000 Alice Brown Brandwein Clinical Neuropsychologist 445 Park Ave Fl 2, New York, NY 10022-8649 2018-01-25
1184139776 Matthew Pagirsky Clinical Neuropsychologist 130 E 63rd St Apt 10a, New York, NY 10065-7338 2017-12-05
1538685441 Kim Busichio Clinical Neuropsychologist 952 5th Ave Apt 4a, New York, NY 10075-1749 2017-08-22
1316467020 Danny Tam Clinical Neuropsychologist Dva 423 E 23rd St, New York, NY 10010 2017-06-23
1376078030 David Sukiennik Clinical Neuropsychologist 175 W 72nd St Apt 6g, New York, NY 10023-3209 2017-05-01
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City NEW YORK
Zip Code 10128

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Dataset Information

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.

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