Organization Active NPI

Melinda Myers PSYD Inc

  • Psychologist
  • Arcata, CA
National Provider Identifier
1285022871
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22811 Issued in CA
Legal business name
MELINDA MYERS PSYD INC
Practice address
665 F St Ste B
Arcata, CA 95521-6364
Phone
(707) 825-1000
Fax
(707) 825-1000
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Melinda Myers
Title
Ceo/President, Psychologist
Phone
(707) 825-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY22811 CA Primary

Addresses

Primary practice location

665 F St Ste B
Arcata, CA 95521-6364

Mailing address

665 F St Ste B
Arcata, CA 95521-6364
Phone (707) 825-1000

National Provider Directory

National Provider Directory

Locations

665 F St
Ste B
Arcata, CA 95521
Phone (707) 825-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1285022871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 F ST STE B",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216364",
            "telephone_number": "707-825-1000",
            "fax_number": "707-825-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 F ST STE B",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216364",
            "telephone_number": "707-825-1000",
            "fax_number": "707-825-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA MYERS PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO/PRESIDENT, PSYCHOLOGIST",
        "authorized_official_telephone_number": "707-825-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.