Individual provider Active NPI

Melinda Victoria Kirschner, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1346407228
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25019 Issued in CA
Practice address
UCLA Counseling and Psychological Services
John Wooden Center West, Box 951556
Los Angeles, CA 90095-1556
Phone
(310) 825-0768
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 25019 CA Primary

Addresses

Primary practice location

UCLA Counseling and Psychological Services
John Wooden Center West, Box 951556
Los Angeles, CA 90095-1556

Mailing address

UCLA Counseling and Psychological Services
John Wooden Center West, Box 951556
Los Angeles, CA 90095-1556
Phone (310) 825-0768

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 25019CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1346407228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA COUNSELING AND PSYCHOLOGICAL SERVICES",
            "address_2": "JOHN WOODEN CENTER WEST, BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA COUNSELING AND PSYCHOLOGICAL SERVICES",
            "address_2": "JOHN WOODEN CENTER WEST, BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "MELINDA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.