Active NPI
Melissa Rios, PSYD
- Clinical Psychologist
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35503
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35503 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Mind Neuro and Psychology Clinic Inc | Current | 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.
-
- Clinical Neuropsychologist
- San Diego, CA
- NPI 1629879721
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba TIRR Memorial Hermann
- Rehabilitation Hospital
- Houston, TX
- NPI 1710985098
Inpatient rehabilitation facility
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
- Richard Park M.D., a Professional Corporation
- Richard Park, MD a Professional Corporation
- Rinaldi Care Home
- Rinaldi Operating Company LLC (Rinaldi Convalescent Hospital)
- Manuel Antonio Rios
- Paolo Rivera, M.D.
- Rachell Rivera
- RL Soriano and Associates, Inc (Vascular Access Specialists)
- RL Soriano and Associates, Inc (Vascular Access Specialists)
- RM Golden Care Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.