Individual provider Active NPI

Melis Alkin

  • Clinical Psychologist
  • Los Alamitos, CA
National Provider Identifier
1457890717
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26367 Issued in CA
Practice address
5122 Katella Ave Ste 307
Los Alamitos, CA 90720-6838
Phone
(424) 201-1600
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26367 CA Primary

Addresses

Primary practice location

5122 Katella Ave Ste 307
Los Alamitos, CA 90720-6838

Mailing address

829 19TH St
Hermosa Beach, CA 90254-3115
Phone (909) 344-6705

Other names 1

  • Melis Gazioglu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Melis Alkin, Clinical Psychologist, Inc. Clinical Current Accepting new patients

Locations

1200 Aviation Blvd
Ste 102
Redondo Beach, CA 90278
Phone (310) 612-6299

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1457890717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 19TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543115",
            "telephone_number": "909-344-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE STE 307",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206838",
            "telephone_number": "424-201-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKIN",
        "first_name": "MELIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELIS",
            "last_name": "GAZIOGLU",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.