Elaine C Melillo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001324 Issued in CT

Practice address

51 Broad St
Family Advocacy Program
Middletown, CT 06457-3204

Phone

(860) 358-3410

Fax

(860) 358-3404

NPI assigned

May 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Middlesex Hospital

  dba Middlesex Hospital Homecare and Hospice

  • Community Based Hospice Care Agency
  • Middletown, CT
  • NPI 1003873233
  NPD (past)
• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  NPD (past)

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1508090507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "address_2": "FAMILY ADVOCACY PROGRAM",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-3410",
            "fax_number": "860-358-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BROAD ST",
            "address_2": "FAMILY ADVOCACY PROGRAM",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573204",
            "telephone_number": "860-358-3410",
            "fax_number": "860-358-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "ELAINE",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "001324",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kertrisa R McWhite, MD
• Medexpress Urgent Care Connecticut, P.C. (MedExpress Urgent Care - Middletown, Washington St)
• Medguard Alert, Inc.
• Meditelecare of Connecticut PLLC
• Pamela M Meharry, CNM
• Charles H Melvin, APRN
• Diana Mendoza
• Erlinda Penalosa Mercado, M.D.
• Jacquelyn M. Mercey
• Naseema Merchant, M.D.

• Professional Counselor in Middletown, CT
• Providers in Middletown, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.