MS. MELANIE ANN SHORTALL (NPI# 1891070173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891070173 |
| Entity Type | Individual |
| Full Name | MS. MELANIE ANN SHORTALL |
| Other Name | MELANIE SHORTALL |
| Practice Address |
225 New Lancaster Rd Leominster MA 01453-4958 |
| Mailing Address |
5 Neponset St Fl Street2 Worcester MA 01606-2714 |
| Practice Telephone | 9785346000 |
| Practice Fax Number | 6178497113 |
| Mailing Telephone | 5083685532 |
| Mailing Fax Number | 6178497113 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16200 | MA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00578 | RI | Behavioral Health & Social Service Providers |
| N | 225C00000X | Rehabilitation Counselor | 00115909 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1625 Diamond Hill Rd, Woonsocket, RI 028951771 | 4017621511 | 4017621609 |
| Street Address |
225 NEW LANCASTER RD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093798902 | Joseph R Difranza | Family Medicine | 225 New Lancaster Rd, Leominster, MA 01453 | 2005-11-23 |
| 1730722703 | Daniel J O'connell | Physical Therapist | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2019-10-23 |
| 1659912053 | Ronald Vereen Jr. | Developmental Therapist | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2019-10-07 |
| 1669960274 | Michelle Dedon | Registered Nurse | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2018-04-30 |
| 1073043022 | Lindsay Ann Burdsall | Nurse Practitioner | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2017-06-13 |
| 1427505916 | Kathryn Allen | Social Worker | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2016-09-01 |
| 1740525625 | Jennifer Ann Raymond | Physical Therapist | 225 New Lancaster Rd, Leominster, MA 01453 | 2012-12-04 |
| 1104179860 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2012-10-18 |
| 1255307781 | Mark Hryniewich | Internal Medicine | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2006-02-24 |
| 1164409462 | Mark J Rollo | Family Medicine | 225 New Lancaster Rd, Leominster, MA 01453-4958 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407230097 | Sonya Brock | Counselor | 40 Spruce St, Leominster, MA 01453-3233 | 2015-07-14 |
| 1053698993 | Donna Marie Flood | Counselor | 45 Summer St, Leominster, MA 01453-3228 | 2011-11-07 |
| 1164700142 | Julie Elizabeth St John | Counselor | 45 Summer St, Leominster, MA 01453-3228 | 2011-07-25 |
| 1811292626 | Elizabeth Jane Shepard | Counselor | 45 Summer St, Leominster, MA 01453-3228 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042996 | Lisa Mcmanus | Counselor | 365 East St # C-2, Tewksbury, MA 01876-1950 | 2020-11-01 |
| 1770183634 | Lilian Emefiele | Counselor | 34 Gilfford St., New Bedford, MA 02744 | 2020-10-29 |
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
| 1669070553 | Tayla Legrand | Counselor | 100 Autumn Ln, Tewksbury, MA 01876-5500 | 2020-10-13 |
| 1467050534 | Veronica Grace Lebeau-bushee | Counselor | 34 Salem End Rd Apt 19b, Framingham, MA 01702-2490 | 2020-10-12 |
| 1558969840 | Revive Counseling and Wellness Center | Counselor | 388 Pleasant St Ste 201a, Malden, MA 02148-8143 | 2020-10-09 |
| 1215544507 | James Piantedosi | Counselor | 273 Middle St, Braintree, MA 02184-4822 | 2020-09-30 |
| 1447867916 | Christopher Jones | Counselor | 82 Graham St, Gardner, MA 01440-3858 | 2020-09-28 |
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on MS. MELANIE ANN SHORTALL.
| 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.