Individual provider Active NPI

Melissa Andrea Allman, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1699827758
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31593 Issued in CA
Practice address
5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019
Phone
(858) 361-1580
NPI assigned
Jan 17, 2007
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31593 CA Primary

Addresses

Primary practice location

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019

Mailing address

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019
Phone (858) 361-1580

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31593CAMDClinical Psychologist
31593CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderman and Marshall Inc. Clinical CurrentSince Dec 27, 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, 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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1699827758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 MISSION GORGE RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204019",
            "telephone_number": "858-361-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MISSION GORGE RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204019",
            "telephone_number": "858-361-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLMAN",
        "first_name": "MELISSA",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.