CARISSA JUDE MELILLO (NPI# 1326578873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326578873 |
| Entity Type | Individual |
| Full Name | CARISSA JUDE MELILLO |
| Credential | LMHC |
| Practice Address |
10 Concord Ave Cambridge MA 02138-2322 |
| Practice Telephone | 6175204448 |
| Mailing Telephone | 6175204448 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11627 | MA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Tyler St, Somerville, MA 021433241 | 7816863588 | 6176230897 |
| Street Address |
10 CONCORD AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043271471 | Leslie Cutler | Social Worker | 10 Concord Ave, Cambridge, MA 02138-2322 | 2006-03-28 |
| 1245840412 | Clinton Fuller | Behavioral Analyst | 10 Concord Ave, Cambridge, MA 02138-2322 | 2020-08-03 |
| 1356974224 | Carissa Melillo LLC | Clinic/Center | 10 Concord Ave, Cambridge, MA 02138-2322 | 2020-02-19 |
| 1114409489 | Clinical Alliances Services, LLC | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-09-04 |
| 1578049037 | Kristen E. Bettencourt | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-07-17 |
| 1629564513 | Renee Jane Outland | Occupational Therapist | 10 Concord Ave, Cambridge, MA 02138 | 2018-07-03 |
| 1205329323 | Karen Melissa Stufflebeam | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-06-13 |
| 1457869745 | Courtney Ann Rotolo | Social Worker | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-01-20 |
| 1215455340 | Alison Mamatey | Counselor | 10 Concord Ave, Cambridge, MA 02138-2322 | 2017-09-09 |
| 1851814917 | Pax Et Bonum Psychological Services, LLC | Clinic/Center | 10 Concord Ave, Cambridge, MA 02138-2322 | 2017-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240614 | Ruthann Corrie Hewett | Counselor | 15 Ellery St Apt 8, Cambridge, MA 02138-5321 | 2020-09-21 |
| 1730798489 | Talk Therapy Tuebingen LLC | Counselor | 10 Michael Way, Cambridge, MA 02141-1436 | 2020-07-29 |
| 1407491962 | Alex Henry Newman | Counselor | 929 Massachusetts Ave Ste 103, Cambridge, MA 02139-3134 | 2019-11-08 |
| 1790343259 | Arielle Klein | Counselor | 872 Massachusetts Ave Ste 2-2, Cambridge, MA 02139-3072 | 2019-05-30 |
| 1144887696 | Stephanie Gray | Counselor | 1066 Cambridge St Apt 303, Cambridge, MA 02139-1463 | 2019-05-21 |
| 1952878233 | Wendy Elizabeth Shifflet | Counselor | Tri Valley Medical, 1305 Hwy 6/34, Cambridge, NE 69022 | 2018-10-25 |
| 1144796327 | Dorchester County Health Department - Sbwc-mh-csd | Counselor | 2475 Cambridge Beltway, Cambridge, MD 21613-3680 | 2018-10-16 |
| 1295201515 | Dorchester County Health Department - Sbwc-mh - Sandy Hill | Counselor | 1503 Glasgow St, Cambridge, MD 21613-1350 | 2018-10-15 |
| 1265917850 | Gail Nunes | Counselor | 872 Mass Ave Ste 2-2, Cambridge, MA 02139-3072 | 2018-09-28 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| Find all providers in CAMBRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.