Melanie Rachel Hudson-Grogan, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

25726 Issued in CA

Practice address

10323 Santa Monica Blvd Ste 111
Los Angeles, CA 90025-5056

Phone

(310) 701-5103

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Melanie R. Hudson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Westside Wave CBT a Psychological Corporation

  • Cognitive & Behavioral Psychologist
  • Los Angeles, CA
  • NPI 1356145684
  NPD Authorized official

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1912244757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11655 GORHAM AVE",
            "address_2": "#5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494748",
            "telephone_number": "310-701-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-701-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-GROGAN",
        "first_name": "MELANIE",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "25726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "HUDSON",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trisha Huddar
• Jennifer Huddleston, PA
• Leonor Huddleston, NURSE PRACTITIONER
• Calaya Amparo Hudnut
• Hudson Health Center
• Allison Marie Hudson
• Andrew E Hudson, M.D., PH.D.
• Austin Hudson
• Bradley Ogden Hudson, PSYD
• Cassandra Hudson, MS, OTR/L

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.