Pollie Dararith Bith-Melander

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

960 10TH St
Oakland, CA 94607-3106

Phone

(510) 874-3381

NPI assigned

Feb 27, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1285135038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 VALLE VISTA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101922",
            "telephone_number": "510-499-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 10TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073106",
            "telephone_number": "510-874-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITH-MELANDER",
        "first_name": "POLLIE",
        "middle_name": "DARARITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "C7062342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenner Bishop, M.A., LMFT
• Patte J Bishop, M.D.
• Sabrina Bishop
• Jennifer Jill Bissell, LCSW
• Jillian Jane Bissell
• Bitter Melon Acupuncture Inc
• Esme Bitticks
• Bivolcic Roe Chiropractic Corporation
• Delene Bivolcic, D.C. CCRD
• Briana Bixby, COTA/L

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.