Melvin Jay Rabeck, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15058 Issued in CA

Practice address

236 Valdez Ave
Half Moon Bay, CA 94019-1880

Phone

(650) 713-5913

Fax

(650) 713-5915

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1447283429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3718",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940193718",
            "telephone_number": "650-713-5913",
            "fax_number": "650-713-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 VALDEZ AVE",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191880",
            "telephone_number": "650-713-5913",
            "fax_number": "650-713-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABECK",
        "first_name": "MELVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OPL150581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Svitlana Plaschke, NP
• Katherine Mihalov Prescenzi, L.AC. , MSTCM, DACM
• Purisima Family Medicine, Inc.
• Damaris Andrews Pyle, LMFT
• Charles Frederick Quest Jr., MD
• Hana Renor, C.F.N.P.
• Elizabeth Helena Robertson, RDH, RDA
• Alvaro H Rodriguez, M.D.
• Rene Roman I
• Torrey Rothstein

• Clinical Psychologist in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.