Individual provider Active NPI

Katherine G Ruiz-Mellott, M.D.,MPH

  • Psychiatry Physician
  • Haverhill, MA
National Provider Identifier
1962516864
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
227275 Issued in MA
Practice address
76 Summer Street
Whittier Pavilion
Haverhill, MA 01830
Phone
(978) 556-6229
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 227275 MA Primary

Addresses

Primary practice location

76 Summer Street
Whittier Pavilion
Haverhill, MA 01830

Mailing address

310 South St
Jamaica Plain, MA 02130-3510
Phone (617) 459-9283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000606 MA Practitioner - Psychiatry 7810088085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Psychiatric Planners, IncGroup PAC ID 3476653387, 11 clinicians

Practice addresses (Care Compare)

300 S St
Chestnut Hill, MA 02467-3658
Phone (617) 469-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bournewood Clinical Associates Psychiatry CurrentSince Apr 2, 2015 Accepting new patients
Arbour Inc Psychiatry CurrentSince Oct 1, 2014 Accepting new patients
First Psychiatric Planners, Inc CurrentSince Apr 2, 2015 Accepting new patients
Arbour Inc CurrentSince Oct 1, 2014 Accepting new patients
Recovery Solutions and Wellness Past Accepting new patients

Locations

300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

157 Green St
Jamaica Plain, MA 02130
Phone (617) 524-1120

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1962516864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SOUTH ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303510",
            "telephone_number": "617-459-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER STREET",
            "address_2": "WHITTIER PAVILION",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-556-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-MELLOTT",
        "first_name": "KATHERINE",
        "middle_name": "G",
        "credential": "M.D.,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "227275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.