Individual provider Active NPI

Melissa Tamas, PHD

  • Clinical Psychologist
  • Los Altos, CA
National Provider Identifier
1023469509
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31542 Issued in CA
Practice address
1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057
Phone
(084) 806-8302
NPI assigned
Jun 27, 2016
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31542 CA Primary

Addresses

Primary practice location

1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057

Mailing address

1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057
Phone (084) 806-8302

Other practice location 1

1001 Potrero Ave # 6B
San Francisco, CA 94110-3518
Phone (415) 206-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 30, 2019 through Dec 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31542CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California, San Francisco Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1023469509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 145",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246057",
            "telephone_number": "084-806-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 145",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246057",
            "telephone_number": "084-806-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave # 6B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-5270",
            "fax_number": "415-206-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAS",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.