Active NPI
Mimi N Armellino, DO
- Psychiatry Physician
- Manchester, NH
National Provider Identifier
1497837165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T0611
- Practice address
- 718 Smyth Rd
Manchester, NH 03104-7007 - Phone
- (603) 624-4366
- NPI assigned
- Oct 20, 2006
- Last updated
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T0611 | ME | Primary |
Addresses
Primary practice location
718 Smyth Rd
Manchester, NH 03104-7007
Mailing address
718 Smyth Rd
C/O VA Medical Center
Manchester, NH 03104-7007
Phone (603) 624-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0611 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1497837165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SMYTH RD",
"address_2": "C/O VA MEDICAL CENTER",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031047007",
"telephone_number": "603-624-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SMYTH RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031047007",
"telephone_number": "603-624-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMELLINO",
"first_name": "MIMI",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "T0611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.