TAYLOR BROOKE MELVILLE (NPI# 1518480730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518480730 |
Entity Type | Individual |
Full Name | TAYLOR BROOKE MELVILLE |
Credential | PH.D |
Practice Address |
115 Mill Street South Belknap Building Floor 3 Belmont MA 02478 |
Practice Telephone | 6178553660 |
Practice Fax Number | 6178553246 |
Enumeration Date | 2017-07-19 |
Last Update Date | 2020-07-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30319 | CA | Behavioral Health & Social Service Providers |
Street Address |
115 MILL STREET SOUTH BELKNAP BUILDING FLOOR 3 |
City | BELMONT |
State | MA |
Zip Code | 02478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487635504 | Tracey A Milligan | Psychiatry & Neurology | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2005-11-07 |
1225662323 | Alan Eric Fruzzetti | Psychologist | 115 Mill Street, Mclean Hospital, Belmont, MA 02478-0247 | 2020-02-27 |
1760952808 | Lauren F Asermely | Nurse Practitioner | 115 Mill Street, Internal Medicine Associates, Belmont, MA 02478 | 2018-12-02 |
1407347545 | Michelle C Capozzoli | Student in an Organized Health Care Education/Training Program | 115 Mill Street, Mailstop 234, Belmont, MA 02478 | 2018-05-24 |
1326536251 | Christian Anthony Webb | Psychologist | 115 Mill Street, Demarneffe Building Room 240, Belmont, MA 02478 | 2018-04-26 |
1104348663 | Hayley Lauren Paret | Registered Nurse | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2017-07-16 |
1588076715 | Amanda Sedgewick | Psychiatry & Neurology | 115 Mill Street, Mail Stop #222, Belmont, MA 02478 | 2014-05-22 |
1962638536 | Ipsit Vihang Vahia | Psychiatry & Neurology | 115 Mill Street, Belmont, MA 02478 | 2009-06-09 |
1225297765 | William B Ruzicka | Psychiatry & Neurology | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2008-06-09 |
1730359969 | Karen E. Boyko | Social Worker | 115 Mill Street, Mclean Hospital, Belmont, MA 02478 | 2008-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235755398 | Jessica L Lazar Schwartz | Psychologist | 115 Mill St # Ms 238, Belmont, MA 02478-1064 | 2020-06-24 |
1700371747 | Rachel Faye Bruno | Psychologist | 220 Lewis Road, Belmont, MA 02478-3833 | 2018-06-22 |
1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
1659861870 | Jeffrey Paul Miner | Psychologist | 36 Broad St, Belmont, MA 02478-3206 | 2018-05-14 |
1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
1699090357 | Emily E Manove | Psychologist | 25 Flanders Rd, Belmont, MA 02478-4066 | 2010-04-06 |
1851537773 | Emily R. Wildman, Psy.d., LLC | Psychologist | 2824 Alhambra Dr, Belmont, CA 94002-1352 | 2008-12-23 |
1942497565 | Michele Candrian | Psychologist | 115 Mill Street, Mclean Hospital, North Belknap 1, Belmont, MA 02428 | 2007-09-27 |
1790902443 | Elizabeth M Rizzo | Psychologist | 1200 Sixth Ave, Belmont, CA 94002-3856 | 2007-04-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.