Organization Active NPI

Sir Norman T. Melancon, MD PC

  • Psychiatry Physician
  • Campbell, CA
National Provider Identifier
1932985512
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SIR NORMAN T. MELANCON, MD PC
Practice address
2155 S Bascom Ave Ste 110
Campbell, CA 95008-3200
Phone
(650) 485-1391
NPI assigned
Sep 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Sir Norman Melancon, MDNPI 1285139600
Title
Ceo
Phone
(650) 485-1391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

2155 S Bascom Ave Ste 110
Campbell, CA 95008-3200

Mailing address

2419 Pebble Beach Dr
San Jose, CA 95125-2809

National Provider Directory

National Provider Directory

Locations

2155 S Bascom Ave
Ste 110
Campbell, CA 95008
Phone (408) 377-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1932985512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 PEBBLE BEACH DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083200",
            "telephone_number": "650-485-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIR NORMAN T. MELANCON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "SIR NORMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-485-1391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.