Individual provider Active NPI

Melissa Kohner, PSYD

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1033541248
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27310 Issued in CA
Practice address
2931 Shattuck Ave Ste 101D
Berkeley, CA 94705-1989
Phone
(510) 868-2218
NPI assigned
Jul 30, 2013
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 27310 CA Primary

Addresses

Primary practice location

2931 Shattuck Ave Ste 101D
Berkeley, CA 94705-1989

Mailing address

2931 Shattuck Ave Ste 101D
Berkeley, CA 94705-1989
Phone (510) 868-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606001388 CA Practitioner - Clinical Psychologist 2769860667 Practice locations: Berkeley, CA; San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2931 Shattuck Ave
Suite 101D
Berkeley, CA 94705-1989
Phone (510) 868-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27310CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1033541248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 SHATTUCK AVE STE 101D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051989",
            "telephone_number": "510-868-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 SHATTUCK AVE STE 101D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051989",
            "telephone_number": "510-868-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNER",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.