Individual provider Active NPI

Melanie Afshar, PSYD

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1821402090
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30551 Issued in CA
Practice address
62 Discovery
Irvine, CA 92618-3142
Phone
(949) 351-6446
NPI assigned
Jun 16, 2014
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30551 CA Primary

Addresses

Primary practice location

62 Discovery
Irvine, CA 92618-3142

Mailing address

62 Discovery Ste 100
Irvine, CA 92618-3143
Phone (949) 299-5441

Other practice location 1

4 Terraza
Irvine, CA 92614-8110
Phone (949) 351-6446

Other identifiers 1

IdentifierTypeStateIssuer
1659500569OtherCAORANGE COUNTY HEALTH & PSYCHOLOGY ASSOCIATES

Other names 1

  • Melanie Afshar-Cancino Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30551CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1821402090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 DISCOVERY STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183143",
            "telephone_number": "949-299-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 DISCOVERY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183142",
            "telephone_number": "949-351-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Terraza",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926148110",
            "country_code": "US",
            "telephone_number": "949-351-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFSHAR",
        "first_name": "MELANIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORANGE COUNTY HEALTH & PSYCHOLOGY ASSOCIATES",
            "identifier": "1659500569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "AFSHAR-CANCINO",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.