Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark V Mellinger, PHD

Individual provider Clinical Psychologist · NPI 1629069711

Dr. Mark V Mellinger, PHD is a Clinical Psychologist in New York, New York. Qualified in 1981, 45 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
45
Licensed in
CT, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

680 W End Ave Ste 1A
New York, NY 10025-6815 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 864-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 006704-1 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 002093 (CT)

Record details

NPI number1629069711
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 29, 2005
Last updated in NPPESJanuary 27, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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