Individual provider Active NPI

Melody Ann Alberty, AMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1609308410
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117948 Issued in CA
Practice address
550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857
Phone
(559) 795-5990
NPI assigned
Mar 30, 2017
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 117948 CA Primary

Addresses

Primary practice location

550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857

Mailing address

333 E Cinnamon Dr Apt 335
Lemoore, CA 93245-2889
Phone (559) 572-2667

Other practice location 1

3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040

Other practice location 2

3313 N Sonora Ave
Fresno, CA 93722-4668
Phone (559) 549-6610

Other practice location 3

3138 W Barstow Ave
Fresno, CA 93711-2603
Phone (559) 243-7002

Other identifiers 1

IdentifierTypeStateIssuer
117948OtherCAASSOCIATE MARRIAGE AND FAMILY THERAPIST

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

State licenses

LicenseStateTypeSpecialty
117948CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Couples and Marriage Counseling, Inc Marriage & Family Therapist CurrentSince Apr 14, 2024 Accepting new patients
Fresno Family Therapy Marriage & Family Therapist CurrentSince Oct 16, 2022 Accepting new patients
Imagine You, Inc CurrentSince Aug 1, 2021 Accepting new patients
Kyjo Enterprises, Inc. PastSince Apr 25, 2021 Accepting new patients
Kyjo Enterprises, Inc. PastSince Oct 1, 2021 Accepting new patients

Locations

550 W Alluvial Ave
Ste 108
Fresno, CA 93711
Phone (559) 761-9724

Organizations & group practices 5

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1609308410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CINNAMON DR APT 335",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452889",
            "telephone_number": "559-572-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W ALLUVIAL AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115857",
            "telephone_number": "559-795-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3313 N Sonora Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224668",
            "country_code": "US",
            "telephone_number": "559-549-6610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112603",
            "country_code": "US",
            "telephone_number": "559-243-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERTY",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE MARRIAGE AND FAMILY THERAPIST",
            "identifier": "117948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.