Individual provider Active NPI

Jason Melegari, RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Wheeling, WV
National Provider Identifier
1255974416
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
101896 Issued in WV
Practice address
141 Key Ave
Wheeling, WV 26003-7410
Phone
(304) 242-5642
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 101896 WV Primary

Addresses

Primary practice location

141 Key Ave
Wheeling, WV 26003-7410

Mailing address

516 1St Ave
Sutersville, PA 15083-1212
Phone (304) 639-0016

Other practice location 1

87 15th St
Wheeling, WV 26003-3548
Phone (304) 233-9627 ext. 115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101896WVMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1255974416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 1ST AVE",
            "city": "SUTERSVILLE",
            "state": "PA",
            "postal_code": "150831212",
            "telephone_number": "304-639-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 KEY AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037410",
            "telephone_number": "304-242-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 15th St",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260033548",
            "country_code": "US",
            "telephone_number": "304-233-9627 x115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELEGARI",
        "first_name": "JASON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WV",
            "license": "101896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.