Provider Demographics
NPI:1972270791
Name:MCCALISTER, MELISSA J (PSYCHIATRIC NP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:J
Last Name:MCCALISTER
Suffix:
Gender:F
Credentials:PSYCHIATRIC NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:51 PARKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-1870
Mailing Address - Country:US
Mailing Address - Phone:973-396-6215
Mailing Address - Fax:
Practice Address - Street 1:51 PARKSIDE RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-1870
Practice Address - Country:US
Practice Address - Phone:973-396-6215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13636500163W00000X
NJ26NJ01185900363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse