Organization Active NPI

Melissa Rocklen Licsw, LLC

  • Community/Behavioral Health Agency
  • Jamaica Plain, MA
National Provider Identifier
1184355596
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MELISSA ROCKLEN LICSW, LLC
Practice address
97 Wachusett St Unit 1
Jamaica Plain, MA 02130-4399
Phone
(617) 297-7695
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Melissa RocklenNPI 1841775442
Title
Owner
Phone
(617) 297-7695

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

97 Wachusett St Unit 1
Jamaica Plain, MA 02130-4399

Mailing address

97 Wachusett St Apt 1
Jamaica Plain, MA 02130-4399
Phone (617) 501-6972

Other practice location 1

31 Germania St Bldg C
Jamaica Plain, MA 02130-2314
Phone (617) 297-7695

National Provider Directory

National Provider Directory

Locations

31 Germania St
Bldg C
Jamaica Plain, MA 02130
Phone (617) 297-7695

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1184355596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WACHUSETT ST APT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304399",
            "telephone_number": "617-501-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WACHUSETT ST UNIT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304399",
            "telephone_number": "617-297-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Germania St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021302314",
            "country_code": "US",
            "telephone_number": "617-297-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELISSA ROCKLEN LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "ROCKLEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-297-7695"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.