Provider Demographics
NPI:1659693364
Name:RINALDI, MELISSA LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LYNN
Last Name:RINALDI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 WESTERN AVE
Mailing Address - Street 2:CENTER FOR AUTISM AND RELATED DISABILITIES
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3513
Mailing Address - Country:US
Mailing Address - Phone:518-368-6478
Mailing Address - Fax:
Practice Address - Street 1:1535 WESTERN AVE
Practice Address - Street 2:CENTER FOR AUTISM AND RELATED DISABILITIES
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3513
Practice Address - Country:US
Practice Address - Phone:518-368-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018335103TC2200X
RIPS01124103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent