Individual provider Active NPI

Michael M Halassa, MBBS, PHD

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1811124639
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101288580 Issued in VA
Practice address
4434 Electric Rd
Roanoke, VA 24018-0722
Phone
(540) 527-4900
Fax
(540) 772-3913
NPI assigned
Jun 19, 2009
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L-240799 MA
Psychiatry Physician 2084P0800X 0101288580 VA Primary

Addresses

Primary practice location

4434 Electric Rd
Roanoke, VA 24018-0722

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other practice location 1

Massachusetts General Hospital
55 Fruit Street
Boston, MA 02114
Phone (617) 726-2066

Other practice location 2

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 679-5222

Other practice location 3

200 May St
South Attleboro, MA 02703-5520
Phone (508) 761-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130628000535 MA Practitioner - Psychiatry 0941469001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Fuller IncGroup PAC ID 3274510003, 23 clinicians

Practice addresses (Care Compare)

200 May St
South Attleboro, MA 02703-5520
Phone 50876185002263

Merit-based Incentive Payment System (MIPS)

Final score
94.75 of 100Reported as group
Quality
92.55
Improvement activities
40
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
L-240799MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Uhs of Fuller Inc Psychiatry CurrentSince Jun 16, 2021 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Aug 16, 2021 Accepting new patients
Carilion Medical Center Past Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

200 May St
South Attleboro, MA 02703
Phone (508) 761-8500

Interoperability endpoints

  • Direct secure messaging: mhalassa89807@tuftsmedicine.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1811124639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180722",
            "telephone_number": "540-527-4900",
            "fax_number": "540-772-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Massachusetts General Hospital",
            "address_2": "55 Fruit Street",
            "address_purpose": "LOCATION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "617-726-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "386 Stanley St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027206009",
            "country_code": "US",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 May St",
            "address_purpose": "LOCATION",
            "city": "South Attleboro",
            "state": "MA",
            "postal_code": "027035520",
            "country_code": "US",
            "telephone_number": "508-761-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALASSA",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "MBBS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "L-240799",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101288580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.