Individual provider Active NPI

Melody Wright

  • Marriage & Family Therapist
  • Richmond, CA
National Provider Identifier
1184033144
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3150 Hilltop Mall Rd
Richmond, CA 94806-1921
Phone
(510) 646-0046
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3150 Hilltop Mall Rd
Richmond, CA 94806-1921

Mailing address

1611 Sycamore Ave Unit 5511
Hercules, CA 94547-6021
Phone (510) 646-0046

Other practice location 1

2140 Shattuck Ave
Berkeley, CA 94704-1210
Phone (510) 646-0046

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life by Design Marriage and Family Therapy Inc Marriage & Family Therapist CurrentSince Jul 25, 2021 Accepting new patients

Locations

2140 Shattuck Ave
Berkeley, CA 94704
Phone (510) 373-2723

1611 Sycamore Ave
Unit 5511
Hercules, CA 94547

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1184033144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SYCAMORE AVE UNIT 5511",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945476021",
            "telephone_number": "510-646-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HILLTOP MALL RD",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061921",
            "telephone_number": "510-646-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Shattuck Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041210",
            "country_code": "US",
            "telephone_number": "510-646-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MELODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2021-07-23",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.