Organization Active NPI

Melissa Prosch Huy

  • Clinical Neuropsychologist
  • Lake Forest, CA
National Provider Identifier
1922130996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY 18078 Issued in CA
Legal business name
MELISSA PROSCH HUY
Practice address
13 Orchard Ste 103
Lake Forest, CA 92630-8321
Phone
(714) 936-0528
Fax
(714) 693-9333
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melissa Huy, PH.D.
Title
President
Phone
(714) 936-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PSY 18078 CA Primary

Addresses

Primary practice location

13 Orchard Ste 103
Lake Forest, CA 92630-8321

Mailing address

4700 E Bryson St
Anaheim, CA 92807-1901
Phone (714) 936-0528

National Provider Directory

National Provider Directory

Locations

4700 E Bryson St
Anaheim, CA 92807

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922130996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E BRYSON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071901",
            "telephone_number": "714-936-0528",
            "fax_number": "714-693-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ORCHARD STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308321",
            "telephone_number": "714-936-0528",
            "fax_number": "714-693-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PROSCH HUY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-936-0528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 18078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.