Melissa Wells Fedoryk, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

81077 Issued in CA

Practice address

1151 Dove St Ste 105
Newport Beach, CA 92660-2805

Phone

(949) 415-4979

NPI assigned

May 5, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1912528514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRETAGNE",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571032",
            "telephone_number": "949-307-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602805",
            "telephone_number": "949-415-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORYK",
        "first_name": "MELISSA",
        "middle_name": "WELLS",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Cesar Fassino, D.C.
• Melody Fatehi
• Mariam Fazil-Nageer, PMHNP-BC
• Amal Fazli
• Anthony G Fedoryk, D.C.
• Jennifer L Fee, PSY.D.
• Martin Joseph Fee, MD
• Steven Feinberg, MD
• Gregg Feinerman, M.D.
• Bernard Feldman, M.D

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.