Active NPI
Mercedes Elvira Menendez, M.D.
- Psychiatry Physician
- Worcester, MA
National Provider Identifier
1891779054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 206640
- Practice address
- 55 Lake Avenue North
Umass Memorial Medical Center, Adult Mental Health Unit
Worcester, MA 01655-0002 - Phone
- (774) 442-2761
- Fax
- (774) 442-8357
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 206640 | MA | Primary |
Addresses
Primary practice location
55 Lake Avenue North
Umass Memorial Medical Center, Adult Mental Health Unit
Worcester, MA 01655-0002
Mailing address
P.O. Box 415438
Umass Memorial Medical Group, Inc.
Boston, MA 02241-5348
Phone (800) 225-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0118150 | Medicaid | MA | |
| 206640 | Other | MA | MEDICAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206640 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Massachusetts | Past | Accepting new patients | |
| Coordinated Primary Care, Inc. | Past | Accepting new patients | |
| Bernard a Westerling III, MD, LLC | Past | Accepting new patients | |
| Barreto & Schwartz Psychology Associates PC Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fitchburg, MA
- NPI 1366606246
-
- Hospitalist Physician
- Leominster, MA
- NPI 1851623714
-
- Professional Counselor
- Worcester, MA
- NPI 1477618957
-
- Clinical Psychologist
- Cumberland, RI
- NPI 1780866707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1891779054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 415438",
"address_2": "UMASS MEMORIAL MEDICAL GROUP, INC.",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-2225",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVENUE NORTH",
"address_2": "UMASS MEMORIAL MEDICAL CENTER, ADULT MENTAL HEALTH UNIT",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "774-442-2761",
"fax_number": "774-442-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "MERCEDES",
"middle_name": "ELVIRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "206640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0118150",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "206640",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.