Healthcare Provider Details

I. General information

NPI: 1982536652
Provider Name (Legal Business Name): MELISSA M SCHROEDER PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MONTAUK HWY
BLUE POINT NY
11715-1139
US

IV. Provider business mailing address

20 MONTAUK HWY
BLUE POINT NY
11715-1139
US

V. Phone/Fax

Practice location:
  • Phone: 631-268-4148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA M SCHROEDER
Title or Position: OWNER
Credential: PSY.D.
Phone: 631-514-9800