Melissa S Conboy, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

233 Issued in CA

Practice address

4469 Morrell St
San Diego, CA 92109-4642

Phone

(310) 849-1904

NPI assigned

Sep 18, 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

Other names 1

• Melissa S Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1780290460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 TOSCANA WAY APT 7111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225335",
            "telephone_number": "310-849-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 MORRELL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094642",
            "telephone_number": "310-849-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WILLIAMS",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra A Comstock, CNM
• Andrea Kamille Conanan, MS
• John Conard, PHD, BCBA-D
• Andrea Conboy, LCSW
• Barbara T Conboy, PHD, CCC-SLP
• Samantha Conboy, CCH
• Paulo Conceicao
• Joseph M Concellosi, LCSW
• Concentric Diagnostics LLC
• Danielle Concepcion-Rosengren

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.