Melissa Alvarado
Individual provider Active NPI Marriage & Family Therapist · Bristol, CT
NPI 1962827733 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1962827733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 225 N Main St
Bristol, CT 06010-4926 - Phone
- (860) 585-4300
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240813000246 | CT | Practitioner - Marriage and Family Therapist | 9234677006 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeler Clinic Inc | Current |
Accepting new patients | |
| Wheeler Clinic Inc | Current |
Accepting new patients |
Locations
225 N Main St
Bristol, CT 06010
Phone (203) 510-1002
91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871
Interoperability endpoints
- melissa.alvarado.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
225 N Main St
Bristol, CT 06010-4926
Mailing address
271 House St
Glastonbury, CT 06033-1264
Phone (845) 797-5307
Other providers in Bristol, CT
- Esther Alfisi
- Allyson Cynthia Algarin
- Abdel F Allam
- Chauncey Allers
- Judith Patricia Alvarado
- Emilie Alvarez
- Always Best Care of Greater Bristol
- Lynn Amato
- Beth Ellen Anderson
- Germaine Michele Andrews
All providers in Bristol, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.