Active NPI
Melanie R Clemons, PH.D.
- Family Psychologist
- Hayward, CA
National Provider Identifier
1841423332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- PSY 24578
- Practice address
- 300 W Winton Ave
Hayward, CA 94544-1137 - Phone
- (510) 293-7048
- Fax
- (510) 293-7124
- NPI assigned
- Aug 31, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | PSY 24578 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 24578 | CA |
Addresses
Primary practice location
300 W Winton Ave
Hayward, CA 94544-1137
Mailing address
300 W Winton Ave
Hayward, CA 94544-1137
Phone (510) 293-7048
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24578 | CA | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hayward | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hayward, CA
- NPI 1437093762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1841423332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W WINTON AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441137",
"telephone_number": "510-293-7048",
"fax_number": "510-293-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W WINTON AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441137",
"telephone_number": "510-293-7048",
"fax_number": "510-293-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "MELANIE",
"middle_name": "R",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSY 24578",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 24578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.