Individual provider Active NPI

Cecilia Maria Melendez, AMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1639732936
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122722 Issued in CA
Practice address
8928 Volunteer LN
Sacramento, CA 95826-3238
Phone
(916) 344-0199
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 122722 CA Primary

Addresses

Primary practice location

8928 Volunteer LN
Sacramento, CA 95826-3238

Mailing address

8928 Volunteer LN
Sacramento, CA 95826-3238
Phone (916) 344-0199

Other practice location 1

1950 S Sunwest Ln Ste 200
San Bernardino, CA 92408-3248
Phone (909) 252-4010

Other practice location 2

415 Court St
Port Allen, LA 70767-2747
Phone (225) 245-9073

Other practice location 3

24028 Lake Dr.
Crestline, CA 92325-9232
Phone (909) 338-3222

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
122722CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts & Lives PastSince Nov 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1639732936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 VOLUNTEER LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263238",
            "telephone_number": "916-344-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 VOLUNTEER LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263238",
            "telephone_number": "916-344-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 S Sunwest Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083248",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "fax_number": "909-252-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Court St",
            "address_purpose": "LOCATION",
            "city": "Port Allen",
            "state": "LA",
            "postal_code": "707672747",
            "country_code": "US",
            "telephone_number": "225-245-9073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24028 Lake Dr.",
            "address_purpose": "LOCATION",
            "city": "Crestline",
            "state": "CA",
            "postal_code": "923259232",
            "country_code": "US",
            "telephone_number": "909-338-3222",
            "fax_number": "909-338-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "CECILIA",
        "middle_name": "MARIA",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.