| Mellominds Psychiatry Pllc | |
|
264 Beacon St Fl 6 Boston MA 02116-1236 | |
| (617) 221-6547 | |
| (619) 326-3953 |
| Full Name | Mellominds Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 264 Beacon St Fl 6, Boston, Massachusetts |
| Authorized Official Name and Position | Andrew Melaragno (OWNER) |
| Authorized Official Contact | 6172216547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellominds Psychiatry Pllc Po Box 600789 Newtonville MA 02460-0007 Ph: (617) 221-6547 | Mellominds Psychiatry Pllc 264 Beacon St Fl 6 Boston MA 02116-1236 Ph: (617) 221-6547 |
| NPI Number | 1801522933 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Medicare PECOS PAC ID | 1557732625 |
|---|---|
| Medicare Enrollment ID | O20230127001680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801522933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Andrew Melaragno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740636653 PECOS PAC ID: 4284921016 Enrollment ID: I20200325003215 |
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