Melissa E Mendoza Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091600 Issued in MI

Legal business name

MELISSA E MENDOZA INC

Practice address

25600 Woodward Ave
Royal Oak, MI 48067-0943

Phone

(833) 746-5779

Fax

(833) 233-3547

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Melissa E. Mendoza, LMSW

Title

Masters Social Worker / Owner

Phone

(586) 209-7092

Specialties & licenses 1

Addresses

Other names 1

• Pink Positive Psychology Doing business as

Locations

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1730617358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE STE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670944",
            "telephone_number": "833-746-5779",
            "fax_number": "833-233-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670943",
            "telephone_number": "833-746-5779",
            "fax_number": "833-233-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA E MENDOZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MASTERS SOCIAL WORKER / OWNER",
        "authorized_official_telephone_number": "586-209-7092",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Positive Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pink Positive Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nishaki Mehta, M.D.
• Constance Meier
• Meijer Inc
• Dina Meissner
• Mark Meitzner, CRNA
• Danielle Mellin, PSYD
• Emma Melrose
• Joseph Richard Melrose, M.D.
• Julie A Mendelsohn, M.A. CCC-SLP
• Devin Mendez

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.