| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELISSA S GOODEMOTE | 1124117403 | 2024-09-07 |
Melissa S Goodemote is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124117403. Registration indicates Melissa S Goodemote is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Melissa S Goodemote PMHNP |
| Practice Office Address | 423A NEW KARNER RD. UPPER LEVEL ALBANY, NY US |
| Practice Office Telephone | 5182758672 |
| Mailing Address | 423A NEW KARNER RD. UPPER LEVEL ALBANY, NY 122051840 US |
| Business Telephone | 5182758672 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 423A New Karner Rd. Upper Level | Albany, NY 122051840 | 5182758672 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 400989
NY |