Active NPI
Melissa M. Lewis, PH.D.
- Psychologist
- Studio City, CA
National Provider Identifier
1568791275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23900
- Practice address
- 12400 Ventura Blvd # 8
Studio City, CA 91604-2406 - Phone
- (818) 891-7711
- NPI assigned
- Dec 9, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 23900 | CA | Primary |
Addresses
Primary practice location
12400 Ventura Blvd # 8
Studio City, CA 91604-2406
Mailing address
12400 Ventura Blvd # 8
Studio City, CA 91604-2406
Phone (818) 891-7711
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 |
|---|---|---|---|
| 23900 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1568791275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 VENTURA BLVD # 8",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042406",
"telephone_number": "818-891-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 VENTURA BLVD # 8",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042406",
"telephone_number": "818-891-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MELISSA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "23900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
- Cynthia E. Lermond, PSY.D.
- Mindi Levins-Pfeifer
- Briana Rene Lewis, OTR/L
- Carol Lewis, MFC 53526
- Marsha M. Lewis, M.F.T.
- Shirley Li, L.AC.
- Lia Pelvic Health Physical Therapy Inc (Lia Pelvic Health)
- Caren Rose Lieberman, PHYSICAL THERAPIST
- Lifetime Home Health Care Services, Inc.
- Lifetime Hospice Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.