Individual provider Active NPI

Melissa B Seka, PSY.D.

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1841598166
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 18146 Issued in CA
Practice address
2633 Marin Ave
Berkeley, CA 94708-1527
Phone
(510) 387-5367
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 PSY 18146 CA Primary

Addresses

Primary practice location

2633 Marin Ave
Berkeley, CA 94708-1527

Mailing address

2633 Marin Ave
Berkeley, CA 94708-1527
Phone (510) 387-5367

Other names 1

  • Dr. Melissa Seka-Wilson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 18146CAMDClinical Psychologist
18146CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1841598166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 MARIN AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081527",
            "telephone_number": "510-387-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 MARIN AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081527",
            "telephone_number": "510-387-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKA",
        "first_name": "MELISSA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SEKA-WILSON",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.