Individual provider Active NPI

Melinda Cuthbert, PHD., DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tiburon, CA
National Provider Identifier
1508109828
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023921 Issued in CA
Practice address
1 Blackfield Dr # 109
Tiburon, CA 94920-2053
Phone
(415) 888-8000
NPI assigned
Apr 4, 2013
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023921 CA Primary

Addresses

Primary practice location

1 Blackfield Dr # 109
Tiburon, CA 94920-2053

Mailing address

1 Blackfield Dr # 109
Tiburon, CA 94920-2053
Phone (415) 888-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926002754 CA Practitioner - Nurse Practitioner 9133660426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cares Community HealthGroup PAC ID 2769418151, 45 clinicians

Practice addresses (Care Compare)

1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95023921CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cares Community Health CurrentSince Aug 14, 2024 Accepting new patients
Cares Community Health Current Accepting new patients
Cares Community Health CurrentSince Aug 14, 2024 Accepting new patients

Locations

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1508109828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKFIELD DR # 109",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202053",
            "telephone_number": "415-888-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKFIELD DR # 109",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202053",
            "telephone_number": "415-888-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTHBERT",
        "first_name": "MELINDA",
        "credential": "PHD., DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiburon, CA

Sources for this page

Verify at the official NPI Registry.