Melrose Wakefield Behavioral Health Center, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

115832 Issued in MA

Legal business name

MELROSE WAKEFIELD BEHAVIORAL HEALTH CENTER, P.C.

Practice address

11 Lafayette St
Wakefield, MA 01880-2304

Phone

(781) 224-3607

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lalilth Tissera

Title

Psychiatrist

Phone

(781) 224-3607

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1821380106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAFAYETTE ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAFAYETTE ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802304",
            "telephone_number": "781-224-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE WAKEFIELD BEHAVIORAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "TISSERA",
        "authorized_official_first_name": "LALILTH",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "781-224-3607",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "115832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicine Store Inc.
• Medicine Store Inc.
• Maurio Medina
• Leigh Melanson-Adams, ELECTROLOGIST
• Andrew Mello
• Melrose-Wakefield Psychiatric Associates PLLC
• Melrose-Wakefield Psychiatric Associates, PLLC
• Justin Menla
• Courtney A Merritt, M.S., BCBA, LABA
• Patricia J Mian, RN, APN-BC

• Community/Behavioral Health Agency in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.