Melina Mansour LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000462 Issued in CT

Legal business name

MELINA MANSOUR LLC

Practice address

51 N Main St
Suite 2D
Southington, CT 06489-2537

Phone

(860) 378-9605

Fax

(860) 328-3966

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Melina Mansour, LMFTNPI 1528499738

Title

Owner/LMFT

Phone

(860) 378-9605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• Melina Mansour, LMFT

  • Marriage & Family Therapist
  • Southington, CT
  • NPI 1528499738
  Medicare reassignment NPD Authorized official
• Joan D. Cahill, LCSW

  • Clinical Social Worker
  • Southington, CT
  • NPI 1083743488
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1629493036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 S MAIN ST",
            "address_2": "UNIT 1",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791690",
            "telephone_number": "860-378-9605",
            "fax_number": "860-628-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "address_2": "SUITE 2D",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892537",
            "telephone_number": "860-378-9605",
            "fax_number": "860-328-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINA MANSOUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MELINA",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "860-378-9605",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel McMullen, DPT
• McNicholas Family Chiropractic, LLC
• William R McQueen Jr., MD
• Deidre McVety-Bauco, MSOTR
• David Joseph Meiners, L.P.C.
• David S. Mercugliano, PT
• Metamorphosis Counseling and Wellness, LLC
• Isma Arif Mian, M.D.
• Michael Daley (Community Physical Therapy)
• Michael Daley (Community Physical Therapy)

• Marriage & Family Therapist in Southington, CT
• Providers in Southington, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.