MS. PAMELA J MINICHIELLO MS
NPI 1063567055
Counselor - Mental Health in Marlborough, MA

Q: What is Pamela Minichiello's NPI number?

The NPI number for Pamela Minichiello is 1063567055. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Pamela Minichiello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Pamela Minichiello enrolled in Medicare?

No. Pamela Minichiello has opted out of Medicare through July 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 23, 2007Opted out of Medicare · through Jul 29, 2028

56 FRAMINGHAM RD, MARLBOROUGH, MA 01752(508) 481-8077(508) 481-6680 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ms. Pamela J Minichiello Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PAMELA J MINICHIELLO MS (NPI 1063567055) is an individual mental health provider in Marlborough, Massachusetts and active in the NPI registry since January 2007. She has opted out of Medicare through July 29, 2028.

NPPES Registry Identity

NPI1063567055

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. PAMELA J MINICHIELLOCredential: MS

Location Address56 FRAMINGHAM RDMarlborough, MA 01752-3260

Mailing Address5 Old Village RdActon, MA 01720-4610 · (508) 481-8077 · Fax (508) 481-6680

Phone(508) 481-8077

Fax(508) 481-6680

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063567055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

56 FRAMINGHAM RD, Marlborough, MA 01752

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Pamela J Minichiello Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 29, 2024 through July 29, 2028.

Opt-Out Effective DateJuly 29, 2024

Opt-Out In Effect ThroughJuly 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALICIA JOY STRAUS LICSW

Social Worker (Clinical)