JOHN MELLOTT RN NPI 1952721730

NPI Information

  • NPI: 1952721730
  • Provider Name: JOHN MELLOTT, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1040 W BRISTOL RD
    FLINT, MI
    ZIP 48507
  • Phone: (810) 257-3645

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NPI Details

John Mellott, RN is a psychiatric/mental health nurse practitioner in Flint, MI with 2 years of experience. John Mellott, RN NPI is 1952721730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1040 W BRISTOL RD
FLINT, MI
ZIP 48507-516
Phone: (810) 257-3645

The NPI 1952721730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2014 and was last updated on 3/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health4704304498MICHIGANNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4704304498NSA240ZTMICHIGANYes

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: 11/21/2025

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