Active NPI
Melanie M Trowbridge, MD
- Prescribing (Medical) Psychologist
- Jackson, CA
National Provider Identifier
1861644635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- G78564
- Practice address
- 100 Mission Blvd
Suite 2800
Jackson, CA 95642-2536 - Phone
- (209) 257-0177
- Fax
- (209) 257-0176
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | G78564 | CA | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | G78564 | CA |
Addresses
Primary practice location
100 Mission Blvd
Suite 2800
Jackson, CA 95642-2536
Mailing address
100 Mission Blvd
Suite 2800
Jackson, CA 95642-2536
Phone (209) 257-0177
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G78564 | CA | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1861644635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MISSION BLVD",
"address_2": "SUITE 2800",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422536",
"telephone_number": "209-257-0177",
"fax_number": "209-257-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MISSION BLVD",
"address_2": "SUITE 2800",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422536",
"telephone_number": "209-257-0177",
"fax_number": "209-257-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROWBRIDGE",
"first_name": "MELANIE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "CA",
"license": "G78564",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "G78564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.