Melissa M Murr, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY31439 Issued in CA

Practice address

1712 Fawn Glen Cir
Fairfield, CA 94534-3965

Phone

(707) 761-0011

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access Psychology Services PC

  • Psychologist
  • San Diego, CA
  • NPI 1558752931
  Medicare reassignment NPD

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1396009841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 FAWN GLEN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343965",
            "telephone_number": "707-761-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 FAWN GLEN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343965",
            "telephone_number": "707-761-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURR",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF66320",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Mtaweh Murad, M.D.
• Jennifer Murillo de Haro
• Murphy Medical Transportation Inc.
• Mary Helen Murphy
• Meghan Caitlin Murphy, RD
• Alexis Murray
• Christy Tran Murray, DMD
• Maya Murry-Pena
• Jaimie Diane Murtha
• Iman Musallam

• Psychologist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.