Healthcare Provider Details

I. General information

NPI: 1922388792
Provider Name (Legal Business Name): CESAR MELENDEZ-VILLEGAS PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 UNION ST
WESTBOROUGH MA
01581-5408
US

IV. Provider business mailing address

5 NEPONSET ST MEDICAL STAFF SERVICES
WORCESTER MA
01606-2714
US

V. Phone/Fax

Practice location:
  • Phone: 508-856-0732
  • Fax: 508-425-5126
Mailing address:
  • Phone: 508-856-0732
  • Fax: 508-425-5126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number11581
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: