Provider Demographics
NPI:1609001882
Name:NOUEL, MELISSA (MS, CSP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:NOUEL
Suffix:
Gender:F
Credentials:MS, CSP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:TORO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 AVENUE AT PORT IMPERIAL APT 1025
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6964
Mailing Address - Country:US
Mailing Address - Phone:646-247-7108
Mailing Address - Fax:
Practice Address - Street 1:1300 AVENUE AT PORT IMPERIAL APT 1025
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6964
Practice Address - Country:US
Practice Address - Phone:646-247-7108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No171M00000XOther Service ProvidersCase Manager/Care Coordinator