Active NPI
Melissa Rebecca Spina-Brown, AMFT
- Marriage & Family Therapist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 108864
- Practice address
- 3800 Coolidge Ave
Oakland, CA 94602-3311 - Phone
- (510) 482-2244
- Fax
- (510) 842-0406
- NPI assigned
- Jul 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 108864 | CA | Primary |
Addresses
Primary practice location
3800 Coolidge Ave
Oakland, CA 94602-3311
Mailing address
3800 Coolidge Ave
Oakland, CA 94602-3399
Phone (510) 482-2244
Other names 1
- Melissa Rebecca Spina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108864 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmind Online Ca Licensed Clinical Social Worker Prof Corp | Current | Accepting new patients |
Locations
16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106
16501 Ventura Blvd
Ste 400
Encino, CA 91436
Phone (818) 522-7369
888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609
2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279
980 9th St
Sacramento, CA 95814
95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090
99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006
2450 Colorado Ave
Santa Monica, CA 90404
3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 571-3754
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.
-
dba Wellmind
- Psychiatry Physician
- Palo Alto, CA
- NPI 1447871272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1508342395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 COOLIDGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023399",
"telephone_number": "510-482-2244",
"fax_number": "510-842-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 COOLIDGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023311",
"telephone_number": "510-482-2244",
"fax_number": "510-842-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA-BROWN",
"first_name": "MELISSA",
"middle_name": "REBECCA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "108864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "SPINA",
"middle_name": "REBECCA",
"credential": "AMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.