MR. JAVIER OMAR MELENDEZ-VEGA (NPI# 1710400965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710400965 |
| Entity Type | Individual |
| Full Name | MR. JAVIER OMAR MELENDEZ-VEGA |
| Credential | ASW |
| Practice Address |
1255 Allston Way Berkeley CA 94702-1833 |
| Practice Telephone | (510) 845-9010 |
| Practice Fax Number | 5108491421 |
| Mailing Telephone | 5108459010 |
| Mailing Fax Number | 5108491421 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1255 ALLSTON WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902960305 | Sherry-lynn Sarmiento Fahey | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2006-12-20 |
| 1346855277 | David Raphael Alcala | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-08 |
| 1104430685 | Michael Olawuyi Olawuni | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-02 |
| 1508477803 | Mari Nicole Colbert | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-08-11 |
| 1225665276 | Simone Dasilva | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-26 |
| 1518593383 | Alanna Javier | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-12 |
| 1336789940 | Nicolette Boudreaux Wilkenfeld | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-01-11 |
| 1982256624 | Milan Drake | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-07-12 |
| 1548724461 | Julie Sunrise Cowles | Social Worker | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-24 |
| 1306319587 | Abbysinia Wincher | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156349 | Elvia P Gutierrez | Social Worker | 1644 Prince St Apt 6, Berkeley, CA 94703-2342 | 2020-08-28 |
| 1467072900 | Theresa S Schrider | Social Worker | 929 Grayson St, Berkeley, CA 94710-2640 | 2020-04-24 |
| 1346724986 | Steven Robert Blake | Social Worker | 7515 Claremont Ave, Berkeley, CA 94705-1432 | 2018-09-19 |
| 1295238251 | Esther Martino | Social Worker | 1010 Grayson St, Berkeley, CA 94710-2611 | 2018-03-15 |
| 1780199885 | Briahn Bariya Badelle | Social Worker | 2023 Eighth St, Berkeley, CA 94710-2026 | 2017-12-11 |
| 1427581230 | Amrit Schneider | Social Worker | 1942 University Ave, Suite # 306, Berkeley, CA 94704-1251 | 2017-04-07 |
| 1023550860 | Amanda Lopez | Social Worker | 1032 Delaware St # B, Berkeley, CA 94710-2131 | 2016-11-10 |
| 1841743192 | Anne Frances Pugh | Social Worker | 861 Santa Barbara Rd, Berkeley, CA 94707-2017 | 2016-08-03 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215393475 | Mary Hope Dean | Social Worker | 2232 Carleton Street, #5, Berkeley, CA 94704-3225 | 2016-01-04 |
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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.