Organization Active NPI

Melissa Sullivan, Licsw PC

  • Adult Mental Health Clinic/Center
  • Taunton, MA
National Provider Identifier
1497644694
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MELISSA SULLIVAN, LICSW PC
Practice address
41 Taunton GRN Ste 204
Taunton, MA 02780-3252
Phone
(508) 386-3077
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Melissa Sullivan, MSWNPI 1740571702
Title
Owner
Phone
(508) 954-2472

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

41 Taunton GRN Ste 204
Taunton, MA 02780-3252

Mailing address

1 Carma LN
Berkley, MA 02779-1426
Phone (508) 954-2472

National Provider Directory

National Provider Directory

Locations

41 Taunton Grn
Ste 204
Taunton, MA 02780
Phone (508) 386-3077

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": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497644694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARMA LN",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027791426",
            "telephone_number": "508-954-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 TAUNTON GRN STE 204",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803252",
            "telephone_number": "508-386-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA SULLIVAN, LICSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-09-11",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-954-2472",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.