Individual provider Active NPI

Melinda Susan Halden, OTR/L

  • Occupational Therapist
  • Belmont, CA
National Provider Identifier
1720853807
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5661 Issued in CA
Practice address
2140 Carlmont Dr
Belmont, CA 94002-3417
Phone
(650) 591-9601
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5661 CA Primary

Addresses

Primary practice location

2140 Carlmont Dr
Belmont, CA 94002-3417

Mailing address

985 Cherry St
San Carlos, CA 94070-3204
Phone (165) 053-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417001456 CA Practitioner - Occupational Therapist in Private Practice 0840715397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5661CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Home Health Inc CurrentSince Jan 13, 2025 Accepting new patients

Locations

229 Polaris Ave
Ste 5
Mountain View, CA 94043
Phone (650) 784-0082

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1720853807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 CHERRY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703204",
            "telephone_number": "165-053-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CARLMONT DR",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023417",
            "telephone_number": "650-591-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEN",
        "first_name": "MELINDA",
        "middle_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.