Melissa Elizabeth Bentley

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

68600 Issued in CA

Practice address

3440 Airway Dr
Suite E
Santa Rosa, CA 95403-2065

Phone

(707) 544-3299

Fax

(707) 544-6837

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Elizabeth Bentley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1194157917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 AIRWAY DR",
            "address_2": "SUITE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032065",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 AIRWAY DR",
            "address_2": "SUITE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032065",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "68600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BENTLEY",
            "middle_name": "ELIZABETH",
            "credential": "MFT INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Anthony Benoit, MFT
• Elette Danielle Benoit
• Soheila Benrazavi, MD
• McKayla Bensley, CADC
• Laurel Diane Benson, LMFT
• Jo Woodruff Benwell
• Rosie Benzonelli, LCSW
• Michelle Bercut
• Jelena Berena, MD
• Roberta L Berg, MD

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.