Active NPI
Melissa Sullivan, Licsw PC
- Adult Mental Health Clinic/Center
- Taunton, MA
National Provider Identifier
1497644694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa Sullivan, MSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Taunton, MA
- NPI 1740571702
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.