Active NPI
Melody French, PSYD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1801126891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28235
- Practice address
- 11440 W. Bernardo CT.
Ste. 256
San Diego, CA 92127 - Phone
- (619) 786-3111
- Fax
- (858) 524-6344
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RPS2012110 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NONE | ||
| Clinical Psychologist | 103TC0700X | PSY28235 | CA | Primary |
Addresses
Primary practice location
11440 W. Bernardo CT.
Ste. 256
San Diego, CA 92127
Mailing address
11440 W. Bernardo CT.
Ste. 256
San Diego, CA 92127
Phone (619) 786-3111
Other names 1
- Melody Hickman
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 |
|---|---|---|---|
| RPS2012110 | CA | MD | Mental Health Counselor |
| PSY28235 | CA | MD | Clinical Psychologist |
| 28235 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Psychological Wellness, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- San Diego, CA
- NPI 1689130049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1801126891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11440 W. BERNARDO CT.",
"address_2": "STE. 256",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "619-786-3111",
"fax_number": "858-524-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 W. BERNARDO CT.",
"address_2": "STE. 256",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "619-786-3111",
"fax_number": "858-524-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENCH",
"first_name": "MELODY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "RPS2012110",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "NONE",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "HICKMAN",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.