Active NPI
Candice Melton, MFT
- Marriage & Family Therapist
- Stockton, CA
National Provider Identifier
1255590501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC39815
- Practice address
- 2626 N California St
Suite 23
Stockton, CA 95204-5500 - Phone
- (209) 938-0831
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC39815 | CA | Primary |
Addresses
Primary practice location
2626 N California St
Suite 23
Stockton, CA 95204-5500
Mailing address
2626 N California St
23
Stockton, CA 95204-5500
Phone (209) 938-0831
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 |
|---|---|---|---|
| MFC39815 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1255590501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N CALIFORNIA ST",
"address_2": "23",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045500",
"telephone_number": "209-938-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 N CALIFORNIA ST",
"address_2": "SUITE 23",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045500",
"telephone_number": "209-938-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "CANDICE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC39815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.