Meagan Pham Mielke

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

122038 Issued in CA

Practice address

16275 Monterey Rd
Morgan Hill, CA 95037-5466

Phone

(408) 778-5120

NPI assigned

Dec 21, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Forged in Fire Family Therapy Inc

  • Marriage & Family Therapist
  • Vacaville, CA
  • NPI 1316870918
  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1417543745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15895 JACKSON OAKS DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950376803",
            "telephone_number": "408-702-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16275 MONTEREY RD",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375466",
            "telephone_number": "408-778-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "MEAGAN",
        "middle_name": "PHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8595",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Henry Mendoza
• Rebekah Leann Mendoza, CMT
• Fanja Mercier
• Matthew Miao
• Paul David Michaels, M.D.
• Jeffrey S Miller, DDS
• Mind Oasis Psychiatry, a Professional Nursing Corporation
• Minds-Autism Services
• Minh Dang Dental Corporation
• Jennifer Michelle Miranda, FNP

• Marriage & Family Therapist in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.