Active NPI
Melissa Sweitzer, PH.D.
- Behavior Analyst
- Garden Grove, CA
National Provider Identifier
1487993812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-1578
- Practice address
- 12443 Lewis St
Suite 201
Garden Grove, CA 92840-4650 - Phone
- (714) 748-4440
- Fax
- (714) 748-4445
- NPI assigned
- Feb 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-04-1578 | CA | Primary |
| Psychologist | 103T00000X | PSY 10740 | CA |
Addresses
Primary practice location
12443 Lewis St
Suite 201
Garden Grove, CA 92840-4650
Mailing address
17853 Santiago Blvd
#107-329
Villa Park, CA 92861-4113
Phone (714) 748-4440
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 10740 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1487993812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17853 SANTIAGO BLVD",
"address_2": "#107-329",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614113",
"telephone_number": "714-748-4440",
"fax_number": "714-748-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12443 LEWIS ST",
"address_2": "SUITE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404650",
"telephone_number": "714-748-4440",
"fax_number": "714-748-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEITZER",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-04-1578",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 10740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.