Melrose-Wakefield Behavorial Health Center, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

81635 Issued in MA

Legal business name

MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C.

Practice address

800 W Cummings Park
Suite 4700
Woburn, MA 01801-6372

Phone

(781) 224-0661

Fax

(781) 224-1993

NPI assigned

Jul 31, 2006

Organization subpart

Yes

Parent organization

MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Lalith M. Tissera

Title

Medical Director

Phone

(781) 224-0661

Specialties & licenses 1

Addresses

Other identifiers 11

Part of

Melrose-Wakefield Behavorial Health Center P C

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1326053786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK",
            "address_2": "SUITE 4700",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-224-0661",
            "fax_number": "781-224-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK",
            "address_2": "SUITE 4700",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-224-0661",
            "fax_number": "781-224-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C.",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "TISSERA",
        "authorized_official_first_name": "LALITH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "781-224-0661",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "81635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143741",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "007792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "M21864",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "G10083",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "007792",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "3143741",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "776747",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M19048",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "222936",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A20487",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD",
            "identifier": "J16485",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loly Michel Medina
• Mary P Medwar, DC
• Zumra Mehmedovic, PMHNP
• David Melchiorri, DPT
• Melissa M Thompson DMD, PC
• Lori Meltzer, OTR
• Yesenia Menendez- Sanchez
• Jill Mengel, BCBA
• Ambika Menon
• Mental Health Alcove PC

• Psychiatry Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.