MRS. KIMBERLY D MELCON (NPI# 1922573203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922573203 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY D MELCON |
| Credential | LMFT #88001 |
| Practice Address |
28310 Roadside Dr Ste 121 Agoura Hills CA 91301-4949 |
| Mailing Address |
7658 Topanga Canyon Blvd Unit 112 Canoga Park CA 91304-5589 |
| Practice Telephone | 8182053844 |
| Mailing Telephone | 8182053844 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 88001 | CA | Behavioral Health & Social Service Providers |
| Street Address |
28310 ROADSIDE DR STE 121 |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495052 | Erin Catherine Rush | Marriage & Family Therapist | 6300 Germania Ct, Agoura Hills, CA 91301-4101 | 2020-04-06 |
| 1194389106 | Maxcy Dancy | Marriage & Family Therapist | 28310 Roadside Dr Ste 247, Agoura Hills, CA 91301-4952 | 2019-04-24 |
| 1548736291 | Ariana Carolyn Savich | Marriage & Family Therapist | 5210 Lewis Rd Ste 5, Agoura Hills, CA 91301-2662 | 2018-10-21 |
| 1033619366 | Nancy Ann Nasser | Marriage & Family Therapist | 30497 Canwood St Ste 103, Agoura Hills, CA 91301-4330 | 2018-02-13 |
| 1093237216 | Kiley Marie Carmona | Marriage & Family Therapist | 29646 Meadowmist Way, Agoura Hills, CA 91301-4405 | 2017-07-10 |
| 1649645482 | Bradley Carow | Marriage & Family Therapist | 5323 Colodny Dr Apt 105, Agoura Hills, CA 91301-2626 | 2015-12-04 |
| 1811367758 | Wendy Crandall-cohen, M.a. Lmft | Marriage & Family Therapist | 28720 Canwood St, Suite 204, Agoura Hills, CA 91301-4521 | 2015-10-05 |
| 1043641160 | Zoe Gillis | Marriage & Family Therapist | 5539 Rainbow Crest Dr, Agoura Hills, CA 91301-1916 | 2013-11-30 |
| 1891134102 | Anahita Kia | Marriage & Family Therapist | 28328 Agoura Rd, Suite 104, Agoura Hills, CA 91301-2739 | 2013-06-19 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| Find all providers in AGOURA HILLS | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
Please comment or provide details below to improve the information on MRS. KIMBERLY D MELCON.
| 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.