Active NPI
Robert John Scarelli Jr.
- Community/Behavioral Health Agency
- Methuen, MA
National Provider Identifier
1932675451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 101YM0800X
- Practice address
- 113 Pleasant St
Methuen, MA 01844-7131 - Phone
- (978) 994-9946
- NPI assigned
- Oct 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 101YM0800X | MA | Primary |
Addresses
Primary practice location
113 Pleasant St
Methuen, MA 01844-7131
Mailing address
113 Pleasant St
Methuen, MA 01844-7131
Phone (978) 994-9946
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YM0800X | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1932675451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 PLEASANT ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018447131",
"telephone_number": "978-994-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 PLEASANT ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018447131",
"telephone_number": "978-994-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARELLI",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "101YM0800X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.