Melissa Jean Southwood

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S68365377155804 Issued in NJ

Practice address

2501 Harrison St
Oakland, CA 94612-3811

Phone

(510) 444-3344

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• John F. Kennedy University

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1871954388
  NPD (past)
• Oakland Counseling Center

  • Case Management Agency
  • Oakland, CA
  • NPI 1053956755
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1417403197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123811",
            "telephone_number": "510-444-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123811",
            "telephone_number": "510-444-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWOOD",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "S68365377155804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somchit Souksumphan
• Iris Lau Yee Soulet
• Veronica Maria Sousa
• Angela M Southall
• Southern Alameda County Comite for Raza Mental Health
• Magda Consuelo Silva Lara Souza, DNP, FNP
• Alexandra J Sovin, LCSW
• Sunny Sowho
• Sozogo
• Ryanne Hayley Spackman

• Student in an Organized Health Care Education/Training Program in Oakland, CA
• Providers in Oakland, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.