IndividualActive
Melody Millando-Wirtenson, PH.D.
NPI 1285882894 · Clinical Psychologist · Northport, NY
Provider details
- NPI number
- 1285882894
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 68-017770 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
79 Middleville Rd
Northport Vamc Psychology Service (116b)
Northport, NY 11768-2200
Phone: (631) 261-4400
Fax: (631) 266-6086
Approximate (ZIP-level) locationGet directions
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.