Samuel De Melo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

237 Highland Ave
Needham, MA 02494-3036

Phone

(781) 433-0672

NPI assigned

Oct 15, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1114398112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BISHOP ST APT 2",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028128",
            "telephone_number": "774-994-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943036",
            "telephone_number": "781-433-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MELO",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hronsky Davidson, PHD
• Jonathan Mark Davis, D.M.D.
• Michael J Davis
• Jill M Day, NP
• Ddmdmd Dental Assoc
• Sara De Pons, LICSW
• Deaconess Glover Affilliated Physicians
• Christopher Michael Dean
• Deanna P. Ricker, M.D., P.C.
• Erica Gwen Debartolo, MA

• Mental Health Counselor in Needham, MA
• Providers in Needham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.