Active NPI
Melissa Ann Dover, RN
- Psychiatric/Mental Health Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95015180
- Practice address
- 306 E Pacific Coast Hwy
Long Beach, CA 90806-6259 - Phone
- (625) 427-1700
- NPI assigned
- Jun 17, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95015180 | CA | Primary |
Addresses
Primary practice location
306 E Pacific Coast Hwy
Long Beach, CA 90806-6259
Mailing address
3244 Dakota Ave
Costa Mesa, CA 92626-2242
Phone (714) 655-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015180 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Health and Education Inc | Current | Accepting new patients | |
| Center for Family Health and Education Inc | Current | Accepting new patients | |
| Center for Family Health and Education Inc | Past | Accepting new patients |
Locations
500 W Willow St
#101
Long Beach, CA 90806
Phone (562) 427-1700
455 W Willow St
Long Beach, CA 90806
Phone (562) 427-1700
8727 Van Nuys Blvd
Ste 105
Panorama City, CA 91402
Phone (818) 528-6949
8727 Van Nuys Blvd
Ste 207
Panorama City, CA 91402
6609 Van Nuys Blvd
Ste 201A
Van Nuys, CA 91405
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Panorama City, CA
- NPI 1871853481
-
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
- NPI 1154803674
-
- Federally Qualified Health Center (FQHC)
- Panorama City, CA
- NPI 1376010579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1649896408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 DAKOTA AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262242",
"telephone_number": "714-655-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 E PACIFIC COAST HWY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908066259",
"telephone_number": "625-427-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVER",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95015180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.