ROBERT M MELLO JR.
NPI 1962652925
Social Worker - Clinical in Somerville, MA
NPI Status: Active since September 26, 2008
- Individual
- Male
- Years of Experience 16
- Social Worker
- Clinical
- Accepts Medicare Approved Payment
- Opted-Out Medicare
About ROBERT MELLO
This page provides the complete NPI Profile along with additional information for Robert Mello, a provider established in Somerville, Massachusetts with a medical specialization in Social Worker, focusing in clinical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1962652925 assigned on September 2008. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1962652925
- Provider Name
- ROBERT M MELLO JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 260 BEACON ST SOMERVILLE, MA 02143
- Location Phone
- (617) 661-5700
- Mailing Address
- 260 BEACON ST SOMERVILLE, MA 02143
- Mailing Phone
- (617) 661-5700
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-26-2008
- Last Update Date
- 09-26-2008
- Code Navigator
A clinical social worker like Robert Mello is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Robert Mello opted out of Medicare effective on 12-11-2023 until 12-11-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Medicare Participation & PECOS Enrollment Status
Robert Mello is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-11-2023
Opt-Out End Date: 12-11-2025
Eligible to Order and Refer? No
PECOS PAC ID: 8729230735
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20121219000463
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $19.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02143 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $0
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 6 | 5 | 2 | 9 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 12 | 5 | 4 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 2 + 5 + 4 + 9 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1962652925 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639259146 | MR. PATRICK S GRISWOLD LMHC, LADC 1 Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1548341324 | JUDITH M KOLENDA LADC,LPN,CAS, Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1023191426 | DEBORAH SOSIN LICSW Individual | Social Worker (Clinical) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1659456952 | JOHNNIE BLOOM LPN Individual | Licensed Practical Nurse | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1639256787 | MAURA MATARSE Individual | Counselor (Mental Health) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1366520348 | JANICE F KAUFFMAN RN, LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1518046408 | JENIFER E STELMACK Individual | Social Worker | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1205915162 | EILEEN P RUSH Individual | Counselor (Mental Health) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1508934118 | ELYSE PIPITONE Individual | Student in an Organized Health Care Education/Training Program | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1043331408 | NATALIE HATCHER LPN Individual | Licensed Practical Nurse | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1194847251 | JOUMATHE THEODORE Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1235251380 | TIMOTHY F CASEY Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1316137219 | RIVKAH LAPIDUS Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1538350558 | SARAH AVERY Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1497912778 | MICHAEL W STEVENS Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1013178540 | TIMOTHY J QUINONES Individual | Counselor (Addiction (Substance Use Disorder)) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1710134655 | STEPHANIE M WEST Individual | Counselor (Mental Health) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1356598296 | FLORIANA T BICCHIERI Individual | Licensed Practical Nurse | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1356674899 | SARAH MARIE KRAKOSKI Individual | Counselor (Mental Health) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
| 1528394160 | SARA SWATI ANTANI M.A., ED.M Individual | Counselor (Mental Health) | 260 BEACON ST SOMERVILLE, MA 02143 (617) 661-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962652925, enumerated in the NPI registry as an "individual" on September 26, 2008
The provider is located at 260 Beacon St Somerville, Ma 02143 and the phone number is (617) 661-5700
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 16 years of experience.
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on December 11, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 11, 2025.
This NPI record was last updated on September 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.