Individual provider Active NPI

Melissa Micheli Shepherd-Williams

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1912027517
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37794 Issued in CA
Practice address
15840 Ventura Blvd Ste 306
Encino, CA 91436-4759
Phone
(818) 731-1341
NPI assigned
Mar 29, 2007
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37794 CA Primary

Addresses

Primary practice location

15840 Ventura Blvd Ste 306
Encino, CA 91436-4759

Mailing address

15840 Ventura Blvd Ste 306
Encino, CA 91436-4759
Phone (818) 731-1341

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
MFC37794CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1912027517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD STE 306",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364759",
            "telephone_number": "818-731-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD STE 306",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364759",
            "telephone_number": "818-731-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD-WILLIAMS",
        "first_name": "MELISSA",
        "middle_name": "MICHELI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.