Organization Active NPI

Debra Melmon

  • Health Maintenance Organization
  • Mountain View, CA
National Provider Identifier
1710374665
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
50592 Issued in CA
Legal business name
DEBRA MELMON
Practice address
1059 El Monte Ave Ste B
Mountain View, CA 94040-4601
Phone
(650) 465-2903
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Debra Melmon, LMFTNPI 1033599709
Title
Marriage and Family Therapist
Phone
(650) 465-2903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 50592 CA
Psychiatric Hospital 283Q00000X 50592 CA
Health Maintenance Organization 302R00000X 50592 CA Primary
Child Mental Illness Respite Care 385HR2055X 50592 CA

Addresses

Primary practice location

1059 El Monte Ave Ste B
Mountain View, CA 94040-4601

Mailing address

1059 El Monte Ave Ste B
Mountain View, CA 94040-4601
Phone (650) 465-2903

National Provider Directory

National Provider Directory

Locations

1059 El Monte Ave
Ste B
Mountain View, CA 94040
Phone (650) 361-0236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1710374665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 EL MONTE AVE STE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404601",
            "telephone_number": "650-465-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 EL MONTE AVE STE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404601",
            "telephone_number": "650-465-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA MELMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "MELMON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "650-465-2903",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "50592",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "50592",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "50592",
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "CA",
            "license": "50592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.