Individual provider Active NPI

Melissa Batista, LMFT

  • Marriage & Family Therapist
  • Brockton, MA
National Provider Identifier
1346633518
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1499 Issued in MA
Practice address
529 Pearl St
Brockton, MA 02301-2825
Phone
(508) 580-2211
NPI assigned
Mar 12, 2015
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1499 MA Primary

Addresses

Primary practice location

529 Pearl St
Brockton, MA 02301-2825

Mailing address

1212 Hancock St
Quincy, MA 02169-4300
Phone (617) 745-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000785 MA Practitioner - Mental Health Counselor 7416309562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1499MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Starr Psychiatric Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

529 Pearl St
Brockton, MA 02301
Phone (508) 580-1616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1346633518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694300",
            "telephone_number": "617-745-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012825",
            "telephone_number": "508-580-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "MELISSA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.