Active NPI
Melissa Isabelle Berdu
- Counselor
- Worcester, MA
National Provider Identifier
1972031003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A
- Practice address
- 345 Greenwood St
Worcester, MA 01607-1767 - Phone
- (508) 363-0200
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A | MA | Primary |
Addresses
Primary practice location
345 Greenwood St
Worcester, MA 01607-1767
Mailing address
345A Greenwood St Ste B
Worcester, MA 01607-1753
Phone (774) 329-7220
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 |
|---|---|---|---|
| A | MA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972031003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345A GREENWOOD ST STE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071753",
"telephone_number": "774-329-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 GREENWOOD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071767",
"telephone_number": "508-363-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDU",
"first_name": "MELISSA",
"middle_name": "ISABELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.