Identity and Mental Health Project LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

IDENTITY AND MENTAL HEALTH PROJECT LLC

Practice address

65 Rossmore Rd Apt 2L
Boston, MA 02130-3671

Phone

(857) 453-8249

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Ranelli, LICSWNPI 1801231303

Title

Owner/Psychotherapist

Phone

(413) 687-2709

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 1

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

• Michelle Ranelli, LMSW

  • Social Worker
  • Woodside, NY
  • NPI 1801231303
  NPD Authorized official

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1568097673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROSSMORE RD APT 2L",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROSSMORE RD APT 2L",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303671",
            "telephone_number": "857-453-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Harvard St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024466478",
            "country_code": "US",
            "telephone_number": "857-453-8249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Newbury St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021163290",
            "country_code": "US",
            "telephone_number": "857-453-8249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDENTITY AND MENTAL HEALTH PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "RANELLI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "413-687-2709",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "123",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1801231303",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/michelle-ranelli-boston-ma/477015",
            "affiliation": "N",
            "address_1": "10 Newbury St Fl 4",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021163290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Ictech-Cassis
• Ross USA Icyda, D.M.D.
• Esemuede Henry Idada
• Alexander John Phelan Idarraga
• Lucy Elizabeth Ide
• Idg Boston High Street Dental PC
• Idg Boston PO Square Dental PC
• Jared Thomas Iding, MD
• Samir Idjeri
• Randy Keegan Idler, MD

• Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.