Individual provider Active NPI

Melissa Rios, PSYD

  • Clinical Psychologist
  • Granada Hills, CA
National Provider Identifier
1093290926
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35503 Issued in CA
Practice address
10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367
Phone
(818) 832-2400
NPI assigned
Sep 26, 2018
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X 35503 CA Primary

Addresses

Primary practice location

10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367

Mailing address

10203 Nassau Ave
Sunland, CA 91040-3349
Phone (818) 741-0855

Other practice location 1

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 823-9417

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
I20250826003647 CA Practitioner - Clinical Psychologist 0648770321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15238 Readen Crescent Dr
Humble, TX 77346-4939

3225 McLeod Dr
Suite 100
Las Vegas, NV 89121-2257

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35503CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Mind Neuro and Psychology Clinic Inc CurrentSince Jul 7, 2025 Accepting new patients

Locations

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

3225 McLeod Dr
Ste 100
Las Vegas, NV 89121
Phone (702) 675-6300

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1093290926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 NASSAU AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403349",
            "telephone_number": "818-741-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446367",
            "telephone_number": "818-832-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Welch Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041601",
            "country_code": "US",
            "telephone_number": "650-823-9417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "MELISSA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.