Active NPI
Melinda Martinez
- Behavior Analyst
- Van Nuys, CA
National Provider Identifier
1487180600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 16600 Sherman Way
165
Van Nuys, CA 91406-3875 - Phone
- (818) 386-1094
- Fax
- (818) 386-1182
- NPI assigned
- May 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Marriage & Family Therapist | 106H00000X | 132511 | CA |
Addresses
Primary practice location
16600 Sherman Way
165
Van Nuys, CA 91406-3875
Mailing address
16600 Sherman Way
165
Van Nuys, CA 91406-3875
Phone (818) 386-1094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 2, 2024 through Feb 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99318 | CA | MD | Clinical Social Worker |
| 132511 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1487180600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 SHERMAN WAY",
"address_2": "165",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063875",
"telephone_number": "818-386-1094",
"fax_number": "818-386-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16600 SHERMAN WAY",
"address_2": "165",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063875",
"telephone_number": "818-386-1094",
"fax_number": "818-386-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-08",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "132511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.