Active NPI
Mello Psychiatry LLC
- Psychiatry Physician
- Sudbury, MA
National Provider Identifier
1124612726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MELLO PSYCHIATRY LLC
- Practice address
- 348 Boston Post Rd Ste 3
Sudbury, MA 01776-3057 - Phone
- (978) 309-5000
- NPI assigned
- Feb 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Daniel Mesquita Mello, MD
- Title
- Psychiatrist
- Phone
- (978) 309-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
348 Boston Post Rd Ste 3
Sudbury, MA 01776-3057
Mailing address
348 Boston Post Rd Ste 3
Sudbury, MA 01776-3057
National Provider Directory
National Provider DirectoryLocations
348 Boston Post Rd
Ste 3
Sudbury, MA 01776
Phone (978) 309-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Devens, MA
- NPI 1053763730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1124612726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 BOSTON POST RD STE 3",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 BOSTON POST RD STE 3",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763057",
"telephone_number": "978-309-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELLO PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "MESQUITA MELLO",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "978-309-5000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.