Melvin Vazquez, LADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2116 Issued in MA

Practice address

36 Washington St
Lynn, MA 01904-3306

Phone

(781) 842-7261

NPI assigned

Aug 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1922839422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019043306",
            "telephone_number": "781-842-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019043306",
            "telephone_number": "781-842-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "MELVIN",
        "credential": "LADC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Natividad Vargas, B.A.
• Elena Y Vasquez
• Ilya Vasserman, DMD
• William H. Vaughan, OD
• Etoya Tamieka Vaughn
• Erica Vazza
• Andrew Velasquez
• Tosha Gattison Velazquez
• Luis Emilio Velez Velazquez, MD
• Chiqita T Velma, BA IN PSYCHOLOGY

• Addiction (Substance Use Disorder) Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.