DR. MELISSA RIDEOUT (NPI# 1770720724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770720724 |
| Entity Type | Individual |
| Full Name | DR. MELISSA RIDEOUT |
| Credential | PH.D. |
| Practice Address |
100 Morrissey Blvd Umass Boston University Health Services Dorchester MA 02125-3300 |
| Practice Telephone | 6172875690 |
| Practice Fax Number | 6172873977 |
| Mailing Telephone | 6172875690 |
| Mailing Fax Number | 6172873977 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3365 | NC | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 8970 | MA | Behavioral Health & Social Service Providers |
| Street Address |
100 MORRISSEY BLVD UMASS BOSTON UNIVERSITY HEALTH SERVICES |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548242746 | Patricia Ann Halon | Nurse Practitioner | 100 Morrissey Blvd, University Health Services, Quinn Adm Building, Dorchester, MA 02125-3300 | 2005-11-15 |
| 1528227675 | Virginia M Lynch | Nurse Practitioner | 100 Morrissey Blvd, University of Massachusetts, Dorchester, MA 02125-3300 | 2008-06-04 |
| 1871782607 | Christina Marie Von Seggern | Registered Nurse | 100 Morrissey Blvd, University Health Services, Dorchester, MA 02125-3300 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871701003 | Loretta Butehorn | Psychologist | 345 Neponset Ave, Dorchester, MA 02122-3103 | 2007-05-20 |
| 1174681985 | Sandra L Ehlinger | Psychologist | 510 Washington St, Dorchester District Court Clinic, Dorchester, MA 02124-2046 | 2006-12-05 |
| 1144855818 | Jacob Ford Perry | Psychologist | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-03 |
| 1104910918 | Elana B. Steinberg | Psychologist | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2006-10-03 |
| 1932139011 | Joanne Tuller | Psychologist | 398 Neponset Ave, Neponset Health Center, Dorchester, MA 02122 | 2006-07-04 |
| 1912987801 | Mark Ronald Bleier | Psychologist | 398 Neponset Ave, Dorchester, MA 02122 | 2006-01-18 |
| 1184601270 | Celeste Derecho | Psychologist | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-12-29 |
| 1144207226 | Robin Chapman | Psychologist | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162798 | Psychological Transformation | Psychologist | 348 Cambridge Rd # 115, Woburn, MA 01801-6037 | 2020-10-19 |
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1982210480 | Aaron Rezendes Psyd LLC | Psychologist | 38 Dow St, Framingham, MA 01702-7220 | 2020-09-20 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1285242123 | Ruth Brim Balser | Psychologist | 36 Audubon Dr, Chestnut Hill, MA 02467-2621 | 2020-07-16 |
| 1952929184 | Sarah Joanna Schoffstall | Psychologist | 32 Hastings St, Framingham, MA 01701-7954 | 2020-07-14 |
| 1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
| 1760008635 | Katherine Renda Florek | Psychologist | 2 Collins Rd, Hingham, MA 02043-2017 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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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.