Active NPI
Melanie Facundo, LEP, NCSP
- School Psychologist
- Penn Valley, CA
National Provider Identifier
1003726589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 10862 Spenceville Rd
Penn Valley, CA 95946-9625 - Phone
- (530) 432-1118
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CA | Primary |
Addresses
Primary practice location
10862 Spenceville Rd
Penn Valley, CA 95946-9625
Mailing address
233 Wisteria CT
Roseville, CA 95678-1193
Phone (916) 798-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1003726589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 WISTERIA CT",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781193",
"telephone_number": "916-798-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10862 SPENCEVILLE RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469625",
"telephone_number": "530-432-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACUNDO",
"first_name": "MELANIE",
"name_prefix": "Dr.",
"credential": "LEP, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.