NPIMap

Individual provider Active NPI

Melody Rodenberger

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1285184051
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT101347 Issued in CA
Practice address
4291 N Millbrook Ave
Fresno, CA 93726-3438
Phone
(559) 224-7967
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 AMFT101347 CA Primary

Addresses

Primary practice location

4291 N Millbrook Ave
Fresno, CA 93726-3438

Mailing address

PO Box 1615
Clovis, CA 93613-1615
Phone (916) 374-6419

Other practice location 1

160 E Virginia St
Ste 100
San Jose, CA 95112-5857
Phone (408) 918-2618

Other practice location 2

2750 Sutterville Rd
Sacramento, CA 95820-1024
Phone (916) 290-8134

Other practice location 3

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180

Other practice location 4

2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone (559) 443-4800

Other practice location 5

775 E Spruce Ave
Fresno, CA 93720-3016
Phone (559) 431-5073

Other practice location 6

1415 W Barstow Ave
Fresno, CA 93711-3018
Phone (559) 438-9344

Other practice location 7

1853 E Niles Ave
Fresno, CA 93720-2342
Phone (559) 325-3892

Other practice location 8

718 E Minarets Ave
Fresno, CA 93720-3010
Phone (559) 447-1114

Other practice location 9

10120 Lanes Bridge Dr
Madera, CA 93636-8890
Phone (559) 431-5532

Other practice location 10

7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 439-5437

Other practice location 11

1942 E Niles Ave
Fresno, CA 93720-2344
Phone (559) 323-4957

Other practice location 12

1027 N Van Ness Ave
Fresno, CA 93728-3429
Phone (559) 268-7613

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

LicenseStateTypeSpecialty
AMFT101347CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Family Center PastSince May 25, 2021 Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health PastSince May 25, 2021 Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients

Organizations & group practices 9

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1285184051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936131615",
            "telephone_number": "916-374-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263438",
            "telephone_number": "559-224-7967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Virginia St",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951125857",
            "country_code": "US",
            "telephone_number": "408-918-2618",
            "fax_number": "408-579-6143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Sutterville Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958201024",
            "country_code": "US",
            "telephone_number": "916-290-8134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Tulare St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937212281",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 E Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203016",
            "country_code": "US",
            "telephone_number": "559-431-5073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113018",
            "country_code": "US",
            "telephone_number": "559-438-9344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1853 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202342",
            "country_code": "US",
            "telephone_number": "559-325-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203010",
            "country_code": "US",
            "telephone_number": "559-447-1114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10120 Lanes Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368890",
            "country_code": "US",
            "telephone_number": "559-431-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7120 N Marks Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110268",
            "country_code": "US",
            "telephone_number": "559-439-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202344",
            "country_code": "US",
            "telephone_number": "559-323-4957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283429",
            "country_code": "US",
            "telephone_number": "559-268-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODENBERGER",
        "first_name": "MELODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT101347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.