Active NPI
Melyssa Macquarrie, PSYD
- Psychologist
- Tehachapi, CA
National Provider Identifier
1982984480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 18134
- Practice address
- 29900 Grouse Dr
Tehachapi, CA 93561-5126 - Phone
- (714) 396-8037
- NPI assigned
- Aug 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 18134 | CA | Primary |
Addresses
Primary practice location
29900 Grouse Dr
Tehachapi, CA 93561-5126
Mailing address
150 Paularino Ave
Suite C-100
Costa Mesa, CA 92626-3301
Phone (714) 396-8037
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18134 | CA | MD | Acupuncturist |
Interoperability endpoints
- melyssa.macquarrie.1@25119.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671840000000",
"number": "1982984480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PAULARINO AVE",
"address_2": "SUITE C-100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263301",
"telephone_number": "714-396-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29900 GROUSE DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935615126",
"telephone_number": "714-396-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACQUARRIE",
"first_name": "MELYSSA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-28",
"last_updated": "2022-12-24",
"certification_date": "2022-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "18134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.