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MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER P.C. NPI 1326053786


NPI Information

NPI: 1326053786
Provider Name: MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
800 W CUMMINGS PARK
SUITE 4700
WOBURN, MA
ZIP 01801
Phone: (781) 224-0661
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MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C. is a psychiatry psychiatry neurology in Woburn, MA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MELROSE-WAKEFIELD BEHAVORIAL HEALTH CENTER, P.C. NPI is 1326053786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 W CUMMINGS PARK
SUITE 4700
WOBURN, MA
ZIP 01801-372
Phone: (781) 224-0661
Fax: (781) 224-1993

The provider's authorized official is Lalith M. Tissera .
The authorized official title is Medical Director and has the following contact phone number (781) 224-0661.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry81635MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007792OTHERMASSACHUSETTSVALUE OPTIONS
2M21864MEDICARE PINMASSACHUSETTS
3J16485OTHERMASSACHUSETTSBLUECROSSBLUE SHIELD
4M19048OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
53143741OTHERMASSACHUSETTSMEDICAID
6A20487OTHERMASSACHUSETTSMEDICARE
7222936OTHERMASSACHUSETTSPACIFICARE
8G10083OTHERMASSACHUSETTSMEDICARE UPIN
9G10083MEDICARE UPINMASSACHUSETTS
10007792OTHERMARYLANDVALUE OPTIONS
113143741MEDICAIDMASSACHUSETTS
12M21864OTHERMASSACHUSETTSMEDICARE PIN
13776747OTHERMASSACHUSETTSTUFTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.