Active NPI
Melissa R Dearing, PSY.D.
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1760403950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 20546
- Practice address
- 659 W Shaw Ave Ste E
Fresno, CA 93704-2442 - Phone
- (559) 449-2730
- Fax
- (559) 515-6381
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | PSY 20546 | CA | Primary |
Addresses
Primary practice location
659 W Shaw Ave Ste E
Fresno, CA 93704-2442
Mailing address
659 W Shaw Ave Ste E
Fresno, CA 93704-2442
Phone (559) 449-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760403950 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20546 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1760403950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 W SHAW AVE STE E",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042442",
"telephone_number": "559-449-2730",
"fax_number": "559-515-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 W SHAW AVE STE E",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042442",
"telephone_number": "559-449-2730",
"fax_number": "559-515-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARING",
"first_name": "MELISSA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 20546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760403950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.