Active NPIIndividual providerSole proprietor

Mr. Mark Melillo, MS, LCADC, RYT-200

Counselor, Addiction (Substance Use Disorder) in Princeton, New Jersey

NPI Number1174978159
Practice location
1 Monument Drive, Princeton, NJ 08540-4014
Fax
609-688-2045
Last updated
January 13, 2017

Mark Melillo is a Counselor, Addiction (Substance Use Disorder) based in Princeton, NJ. Mark Melillo practices in Princeton, NJ and has the professional credentials of MS, LCADC, RYT-200. The NPI Number for Mark Melillo is 1174978159 and holds a License No. 37LC00252200 (NJ). The current practice location address for Mark Melillo is 1 Monument Drive, Princeton, NJ 08540-4014 and can be reached out via phone at 609-924-8018 and via fax at 609-688-2045.

Provider Profile Details

NPI Number
1174978159
Provider Name
Mark Melillo
Credential
MS, LCADC, RYT-200
Provider Entity Type
Individual
Gender
Male
Address
1 Monument Drive, Princeton, NJ 08540-4014
Phone Number
609-924-8018
Fax Number
609-688-2045
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 27, 2016
Last Update Date
January 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Monument Drive
Princeton, NJ 08540-4014
Zip
08540-4014
Phone Number
609-924-8018
Fax Number
609-688-2045
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
5 Lincoln Pl
D
North Brunswick, NJ 08902-4014
City
North Brunswick
State
NJ
Zip
08902-4014
Phone Number
732-331-7796

License Information

License Number
37LC00252200
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark Melillo, MS, LCADC, RYT-200?

The NPI number of Mr. Mark Melillo, MS, LCADC, RYT-200 is 1174978159. It was assigned on April 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark Melillo, MS, LCADC, RYT-200?

Mr. Mark Melillo, MS, LCADC, RYT-200 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00252200.

Where does Mr. Mark Melillo, MS, LCADC, RYT-200 practice?

The practice location is 1 Monument Drive, Princeton, NJ 08540-4014. The office can be reached at 609-924-8018 (phone) or 609-688-2045 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174978159 directly on the NPPES registry website.

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