Individual provider Active NPI

Melinda Ginne, PH.D.

  • Psychologist
  • Oakland, CA
National Provider Identifier
1447316781
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15272 Issued in CA
Practice address
6355 Telegraph Ave
Ste 302
Oakland, CA 94609-1374
Phone
(510) 752-8302
Fax
(510) 752-1553
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY15272 CA Primary

Addresses

Primary practice location

6355 Telegraph Ave
Ste 302
Oakland, CA 94609-1374

Mailing address

PO Box 11117
280 W. Macarthur Blvd.
Oakland, CA 94611-0117
Phone (510) 752-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
15272CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1447316781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11117",
            "address_2": "280 W. MACARTHUR BLVD.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946110117",
            "telephone_number": "510-752-8302",
            "fax_number": "510-752-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 TELEGRAPH AVE",
            "address_2": "STE 302",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091374",
            "telephone_number": "510-752-8302",
            "fax_number": "510-752-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINNE",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.