MELISSA DERRICK (NPI# 1427407832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427407832 |
| Entity Type | Individual |
| Full Name | MELISSA DERRICK |
| Credential | RN, PMHNP-BC |
| Practice Address |
4001 Highway 104 Ione CA 95640 |
| Practice Telephone | 8052065510 |
| Mailing Telephone | 8052065510 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
23576 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4001 HIGHWAY 104 |
| City | IONE |
| State | CA |
| Zip Code | 95640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251105 | Joseph Chudy | Family Medicine | 4001 Highway 104, Ione, CA 95640 | 2006-03-28 |
| 1134720725 | Ava Le | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2020-11-02 |
| 1821602855 | Marina Protsenko | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2020-09-08 |
| 1669883336 | Kathleen Ann Keller | Psychologist | 4001 Highway 104, Ione, CA 95640-9099 | 2014-05-15 |
| 1134558240 | Cdcr | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2013-11-08 |
| 1316287089 | Debra Ruth Laughlin | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2013-02-18 |
| 1982952230 | Kelsey Tumiel | Counselor | 4001 Highway 104, Ione, CA 95640 | 2012-08-16 |
| 1497068878 | Amy Smith | Counselor | 4001 Highway 104, Ione, CA 95640 | 2010-07-14 |
| 1073846291 | Marshay L. Anderson | Counselor | 4001 Highway 104, Ione, CA 95640 | 2009-09-08 |
| 1053549774 | Annie Gutierrez | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1164810370 | Sarah D Smith | Psychologist | 4001 Highway-104, Ione, CA 95640 | 2014-12-23 |
| 1992130108 | Robert W Landry | Psychologist | 4001 Hwy. 104, Ione, CA 95640 | 2013-09-06 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1629319215 | Kristina Towner | Social Worker | Mcsp, 4001 Hwy 104, Attn: Mental Health Services Department, Ione, CA 95640 | 2013-03-07 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1518214741 | Brandy Malloy | Student in an Organized Health Care Education/Training Program | 4001 Highway 101, Ione, CA 95640 | 2012-08-07 |
| 1215296918 | Wayne J Batalo | Pharmacist | 4001 Highway 102, Ione, CA 95640 | 2012-05-15 |
| 1447402920 | Allison L.v. Andres | Psychologist | 4001 Highway 104 Mental Health Department, Mule Creek State Prison (csp-mcsp), Ione, CA 95640 | 2008-10-16 |
| 1295930188 | Evalyn Horowitz | Internal Medicine | 4001 California 104, Ione, CA 95640 | 2007-06-19 |
| Find all providers in zip 95640 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.