Melvin V Macomber, PHD

Primary specialty

ContractorTaxonomy code 171W00000X

License

PSY10145 Issued in CA

Practice address

8789 Auburn Folsom Rd
PMB 316 Suite C
Granite Bay, CA 95746-6287

Phone

(916) 652-7014

Fax

(916) 652-7014

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1780618520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8789 AUBURN FOLSOM RD",
            "address_2": "PMB 316 SUITE C",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466287",
            "telephone_number": "916-652-7014",
            "fax_number": "916-652-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8789 AUBURN FOLSOM RD",
            "address_2": "PMB 316 SUITE C",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466287",
            "telephone_number": "916-652-7014",
            "fax_number": "916-652-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOMBER",
        "first_name": "MELVIN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "PSY10145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Kathleen Lyle
• Cecil O Lynch, MD
• Brittni Lynds
• M63 Inc.
• Jonas Macomber
• Johannah Macy
• Reine Meagan De la Pena Magtibay
• Baban Mahal, DDS
• Zena Mahdi
• James R Makol, MD

• Contractor in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.