# DR. MELITA PSYCHOLOGICAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205443066
- **Authorized official:** DR. MELITA THAIS PSYCHOLOGICAL L,PSYCH PHD (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (803) 467-9628

## Contact information

- **Practice address:** 515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
- **Practice address phone:** (917) 336-1673
- **Mailing address:** 555 MADISON AVE FL 5, NEW YORK, NY 10022-3410
- **Mailing address phone:** (917) 336-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 09/25/2020