Jerry F Mellin, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF93904 Issued in CA

Practice address

2702 Clayton Rd
Concord, CA 94519-2789

Phone

(925) 798-9240

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1598212078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4394 N PRAIRIE WILLOW CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214439",
            "telephone_number": "925-787-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192789",
            "telephone_number": "925-798-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLIN",
        "first_name": "JERRY",
        "middle_name": "F",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF93904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Melendez
• Alainna Kirsten Melendrez
• Fikir B Melese, DNP, PMHNP
• Serafina Melgar
• Valerie J Melgarejo
• Xela Vie Melody
• Taylor Melton, APCC, AMFT
• Valerie Melville
• Tonantzin C Melvin
• Yonathan Johnson Mendenhall

• Marriage & Family Therapist in Concord, CA
• Providers in Concord, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.