Emilie Ann Gervais Mellal, MA, INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

37 Cabot St Apt 2
Salem, MA 01970-4698

Phone

(508) 713-7131

NPI assigned

Apr 24, 2023

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

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

Credentials

Master of Arts

Practice roles

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.

• Salem Collaborative Therapist Collective

  • Marriage & Family Therapist
  • Salem, MA
  • NPI 1306728654
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1962190470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CABOT ST APT 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704698",
            "telephone_number": "508-713-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CABOT ST APT 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704698",
            "telephone_number": "508-713-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLAL",
        "first_name": "EMILIE",
        "middle_name": "ANN GERVAIS",
        "name_prefix": "Ms.",
        "credential": "MA, INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Medina Jr., LMHC
• Michael Dean Medlock, MD
• Medpro Home Care Solutions, LLC
• Laura Meese
• Tarsi Paola Melenciano Lara
• Brianna Shannon Melson, N.P.
• Deborah Faith Mendleson, MSW LICSW
• Isabel Mendoza
• Chris Meniates
• Mental Health Together LLC

• Marriage & Family Therapist in Salem, MA
• Providers in Salem, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.