Carissa Melillo LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CARISSA MELILLO LLC

Practice address

10 Concord Ave
Cambridge, MA 02138-2322

Phone

(617) 520-4448

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Carissa MelilloNPI 1326578873

Title

Therapist

Phone

(718) 757-0369

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

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

• Carissa Jude Melillo, LMHC

  • Mental Health Counselor
  • Cambridge, MA
  • NPI 1326578873
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1356974224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382322",
            "telephone_number": "617-520-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARISSA MELILLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "MELILLO",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "718-757-0369"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "10 Concord Ave",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021382322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyla Leilani Cardoso Lamitie
• Renata Gomes Cardoso, M.D.
• Carewell Urgent Care Centers of Ma, P.C
• Carewell Urgent Care Centers of Ma, PC
• Emily A. Carey, PH.D.
• Margaret M Carlman, PT
• Gregory Carlson, DPM
• Matthew Carmody, MD
• Kyle Marie Carney, LICSW
• Carol Yun PC

• Adult Mental Health Clinic/Center in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.