Active NPI
Melanie Reyes
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1316288954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 92642
- Practice address
- 594 N Glassell St
Orange, CA 92867-6748 - Phone
- (949) 424-3717
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 72709 | CA | |
| Marriage & Family Therapist | 106H00000X | 92642 | CA | Primary |
Addresses
Primary practice location
594 N Glassell St
Orange, CA 92867-6748
Mailing address
PO Box 883
Orange, CA 92856-6883
Phone (949) 424-3717
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 |
|---|---|---|---|
| 92642 | CA | MD | Marriage & Family Therapist |
| IMF 72709 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1316288954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 883",
"city": "ORANGE",
"state": "CA",
"postal_code": "928566883",
"telephone_number": "949-424-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 N GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928676748",
"telephone_number": "949-424-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 72709",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "92642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.