Active NPI
Melissa Patton
- Social Worker
- Banning, CA
National Provider Identifier
1700252103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 532 Santa Rita PL
Banning, CA 92220-1948 - Phone
- (951) 797-3166
- NPI assigned
- Aug 19, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 125360 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
532 Santa Rita PL
Banning, CA 92220-1948
Mailing address
PO Box 383
Murrieta, CA 92564-0383
Phone (951) 973-4814
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Psychological Services | Clinical | Current | Accepting new patients |
| Ferrees Group Home, Inc | Current | Accepting new patients | |
| Coast to Coast Psychological Services | Mental Health | Past | Accepting new patients |
| Plan-It Life, Inc. | Past | Accepting new patients |
Locations
3610 Central Ave
Ste 500
Riverside, CA 92506
Phone (442) 327-9311
15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311
Organizations & group practices 4
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.
-
- Case Management Agency
- Banning, CA
- NPI 1881288215
-
- Mental Illness Community Based Residential Treatment Facility
- Jurupa Valley, CA
- NPI 1538688585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1700252103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 383",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925640383",
"telephone_number": "951-973-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 SANTA RITA PL",
"city": "BANNING",
"state": "CA",
"postal_code": "922201948",
"telephone_number": "951-797-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "125360",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.