Michelle Melendres

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

97729 Issued in CA

Practice address

14930 Ventura Blvd Ste 230
Sherman Oaks, CA 91403-3487

Phone

(818) 570-1636

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inga Simonian, PHD Psychology Group, Inc.

  • Preferred Provider Organization
  • Burbank, CA
  • NPI 1992181143

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1770182016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 CHALON RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491526",
            "telephone_number": "310-592-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 VENTURA BLVD STE 230",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033487",
            "telephone_number": "818-570-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDRES",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehras Akhavan, MD, Inc
• Maliha Mehrzai, RBT
• Belkis Hernandez Mejia
• Takouhi Tina Mekharian, NP
• Jonathan Melendez
• Vahe Melkonyan, MD
• Kristina Mellibosky
• Yvette D Melvin, M.A.
• Memorial Hospice Care, Inc.
• Karla Isabel Mena

• Clinical Social Worker in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.