Organization Active NPI

Melissa Sweitzer, PH.D, Inc.

  • Psychologist
  • Garden Grove, CA
National Provider Identifier
1841528387
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10740 Issued in CA
Legal business name
MELISSA SWEITZER, PH.D, INC.
Practice address
12443 Lewis Dr.
Suite 201
Garden Grove, CA 92840
Phone
(714) 748-4440
Fax
(714) 748-4445
NPI assigned
Nov 20, 2009
Organization subpart
Yes
Parent organization
MELISSA SWEITZER, PH.D, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Melissa Sweitzer, PH.D.
Title
President, Executive Director
Phone
(714) 748-4440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-04-1578 CA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY10740 CA Primary

Addresses

Primary practice location

12443 Lewis Dr.
Suite 201
Garden Grove, CA 92840

Mailing address

17853 Santiago Blvd
#107-329
Villa Park, CA 92861

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Support Partnership2 organizations share this tax ID, including this one
Part of
Behavioral Support Partnership

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17853 Santiago Blvd
Villa Park, CA 92861
Phone (714) 748-4440

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1841528387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 SANTIAGO BLVD",
            "address_2": "#107-329",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "92861",
            "fax_number": "714-974-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 LEWIS DR.",
            "address_2": "SUITE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92840",
            "telephone_number": "714-748-4440",
            "fax_number": "714-748-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA SWEITZER, PH.D, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELISSA SWEITZER, PH.D, INC.",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-748-4440",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-04-1578",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.