Active NPI
Melone Nichole Yanez, FAMILY SPECIALIST
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1487197612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1200096
- Practice address
- 6051 N Fresno St Ste 201
Fresno, CA 93710-5280 - Phone
- (559) 248-8550
- NPI assigned
- Nov 19, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1200096 | CA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6051 N Fresno St Ste 201
Fresno, CA 93710-5280
Mailing address
6051 N Fresno St Ste 201
Fresno, CA 93710-5280
Phone (916) 388-6321
Other practice location 1
9343 Tech Center Dr
Sacramento, CA 95826-2563
Phone (916) 388-6321
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200096 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1487197612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6051 N FRESNO ST STE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105280",
"telephone_number": "916-388-6321",
"fax_number": "916-779-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 N FRESNO ST STE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105280",
"telephone_number": "559-248-8550"
}
],
"practiceLocations": [
{
"address_1": "9343 Tech Center Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958262563",
"country_code": "US",
"telephone_number": "916-388-6321",
"fax_number": "916-779-2558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANEZ",
"first_name": "MELONE",
"middle_name": "NICHOLE",
"credential": "FAMILY SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-19",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "1200096",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.