Individual provider Active NPI

Melinda Appleby, PSY.D.

  • Clinical Psychologist
  • Fair Oaks, CA
National Provider Identifier
1063675387
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26171 Issued in CA
Practice address
4088 Bridge St Ste 3
Fair Oaks, CA 95628-7144
Phone
(916) 287-1926
Fax
(916) 967-1042
NPI assigned
Jul 7, 2008
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY26171 CA Primary

Addresses

Primary practice location

4088 Bridge St Ste 3
Fair Oaks, CA 95628-7144

Mailing address

4088 Bridge St Ste 3
Fair Oaks, CA 95628-7144
Phone (916) 287-1926

Other practice location 1

3443 W Shaw Ave
Fresno, CA 93711-3249
Phone (559) 271-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY26171CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1063675387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 BRIDGE ST STE 3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287144",
            "telephone_number": "916-287-1926",
            "fax_number": "916-967-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 BRIDGE ST STE 3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287144",
            "telephone_number": "916-287-1926",
            "fax_number": "916-967-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113249",
            "country_code": "US",
            "telephone_number": "559-271-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEBY",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.