Carol L. Meylan

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

28422 Issued in CA

Legal business name

CAROL L. MEYLAN

Practice address

1600 Rosecrans Ave
Suite 400
Manhattan Beach, CA 90266-3708

Phone

(310) 795-8249

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol L Meylan, LCSWNPI 1871949339

Title

Licensed Clinical Social Worker

Phone

(310) 795-8249

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Lynn Meylan, LCSW

  • Clinical Social Worker
  • Pacific Palisades, CA
  • NPI 1871949339
  NPD (past) Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1730583881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 VIA DE LA PAZ",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724362",
            "telephone_number": "310-795-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "SUITE 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708",
            "telephone_number": "310-795-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L. MEYLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "MEYLAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "310-795-8249",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "28422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutharee Camluedet
• Robert W. Campbell, NCTMB
• Nazly Campos-Plata
• Capitol Medical Supply Inc (Capitol Medical)
• Carol Frey M.D., Inc
• Carmen B Castillo, DDS
• Lisbeth Angelica Castillo, BCBA
• Amanda Cavan
• Center for Behavior Analysis & Language Development
• Center for Behavior Analysis and Language Development

• Adult Mental Health Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.