Active NPI
Melissa Gentry, PSYD, CCHT
- Psychologist
- Beverly Hills, CA
National Provider Identifier
1174345094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 94026908
- Practice address
- 315 S Beverly Dr
Beverly Hills, CA 90212-4312 - Phone
- (310) 770-1934
- NPI assigned
- Oct 30, 2024
- Last updated
- Oct 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 94026908 | CA | Primary |
Addresses
Primary practice location
315 S Beverly Dr
Beverly Hills, CA 90212-4312
Mailing address
2355 Westwood Blvd # 363
Los Angeles, CA 90064-2109
Phone (310) 770-1934
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94026908 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing the Love LLC | Psychologist | Current | Accepting new patients |
Locations
315 S Beverly Dr
Beverly Hills, CA 90212
Phone (310) 273-6357
2355 Westwood Blvd
Los Angeles, CA 90064
Phone (310) 966-7650
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.
-
- Psychologist
- Beverly Hills, CA
- NPI 1972325892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1174345094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 WESTWOOD BLVD # 363",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642109",
"telephone_number": "310-770-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S BEVERLY DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124312",
"telephone_number": "310-770-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PSYD, CCHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "94026908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Geme Medical, Inc., a Professional Corporation
- Geme Ultrasound, Inc., a Professional Corproation
- Jamaica Alicia Gendel, PA-C
- Gene K Lee Medical Corporation (La Moem Plastic Surgery)
- Generational Health LLLP
- George DH Loo MD Inc
- George Gershman, M.D., a Medical Corporation
- George Graf M D a Professional Corporation
- George Semel MD Surgery Center
- Gerald Betzen MFT, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.