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PAUL W MACELLARI PHD PC
NPI 1285013474
Clinical Neuropsychologist in Mishawaka, IN

Active since May 21, 2015
135 RED COACH DR, MISHAWAKA, IN 46545(574) 254-9200(574) 254-9202 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul W Macellari Phd Pc NPPES

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

PAUL W MACELLARI PHD PC (NPI 1285013474) is a healthcare organization registered as a clinical neuropsychologist in Mishawaka, Indiana and active in the NPI registry since May 2015. The organization lists Paul Warren Macellari, President, as its authorized official.

NPPES Registry Identity

NPI1285013474
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NamePAUL W MACELLARI PHD PC
Location Address135 RED COACH DRMishawaka, IN 46545-3145
Mailing Address139 Red Coach DriveMishawaka, IN 46545-3145 · (574) 254-9200 · Fax (574) 254-9202
Phone(574) 254-9200
Fax(574) 254-9202
Organization SubpartNo
Authorized OfficialPaul Warren MacellariPresident · (574) 254-9200
Enumeration DateMay 21, 2015
✔ NPI 1285013474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IN · 20040273
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
135 RED COACH DR, Mishawaka, IN 46545
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Other Identifiers 1

Medicare PIN235280IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul W Macellari Phd PC's NPI number?

The NPI number for Paul W Macellari Phd PC is 1285013474. It was assigned to this organization in the NPPES registry on May 21, 2015.

Where is Paul W Macellari Phd PC located?

Paul W Macellari Phd PC is located at 135 Red Coach Dr, Mishawaka, IN 46545. The listed phone number is (574) 254-9200.

What is Paul W Macellari Phd PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Paul W Macellari Phd PC was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.