Melissa Granchi, MA
Individual provider Active NPI Marriage & Family Therapist · Volcano, CA
NPI 1629367404 · NPPES record last updated Nov 2, 2015
Key facts
- NPI
- 1629367404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 51498 (CA)
- Practice address
- 19405 Deerwood Dr
Volcano, CA 95689-9771 - Phone
- (916) 743-6556
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51498 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Granchi | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51498 | CA | Yes |
Addresses
Primary practice location
19405 Deerwood Dr
Volcano, CA 95689-9771
Mailing address
19405 Deerwood Dr
Volcano, CA 95689-9771
Phone (916) 743-6556
Other providers in Volcano, CA
All providers in Volcano, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.