DR. MELISSA MAIN UDELL (NPI# 1003045527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003045527 |
Entity Type | Individual |
Full Name | DR. MELISSA MAIN UDELL |
Credential | PH.D. |
Practice Address |
988 S Fair Oaks Ave Pasadena CA 91105-2626 |
Mailing Address |
Po Box 411014 Los Angeles CA 90041-8014 |
Practice Telephone | 6265827980 |
Mailing Telephone | 6268276199 |
Enumeration Date | 2009-07-06 |
Last Update Date | 2014-02-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSY20926 | CA | Behavioral Health & Social Service Providers |
Street Address |
988 S FAIR OAKS AVE |
City | PASADENA |
State | CA |
Zip Code | 91105-2626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689648693 | Todd Hee | Internal Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2006-02-15 |
1699294710 | Lori Kleban | Registered Nurse | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2017-09-11 |
1679822837 | Kyle H Chang | Family Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2012-09-04 |
1770877409 | Patricia Ann O'connell | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2011-05-28 |
1568768323 | Josh Syungrul Baek | Family Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2011-01-26 |
1003066556 | Woosin Chung | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2008-09-21 |
1578719274 | Shilpa Swamy | Internal Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2008-08-13 |
1356502611 | Emelia Mardigian | Registered Nurse | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2008-06-19 |
1699954867 | Georgina Rose Cabrera | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2007-10-24 |
1902948839 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2007-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
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Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780230441 | Dr. Matthew Calkins, Psy.d., A Psychological Corporation | Psychologist | 595 E Colorado Blvd Ste 335, Pasadena, CA 91101-2060 | 2019-08-17 |
1568022648 | Mindfull Neuropsychology and Psychology | Psychologist | 3838 E Foothill Blvd, Pasadena, CA 91107-2203 | 2019-06-19 |
1528533924 | Nina Huong Nguyen | Psychologist | 595 E Colorado Blvd Ste 802, Pasadena, CA 91101-2001 | 2018-10-11 |
1598288359 | Steven I Brawer Phd Clinical Psychologist Inc | Psychologist | 766 E Colorado Blvd Ste 203, Pasadena, CA 91101-5421 | 2017-07-24 |
1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
1396192282 | Angel Duncan | Psychologist | 745 S Marengo Ave Ste 200, Pasadena, CA 91106-4738 | 2016-05-20 |
1568847697 | James Bernhardt | Psychologist | 2330 E Del Mar Blvd, Apt. 117, Pasadena, CA 91107-4718 | 2015-07-30 |
1043691975 | Deborah Liddi Brown | Psychologist | 446 S Marengo Ave Ste B, Pasadena, CA 91101-3113 | 2015-06-16 |
1144627878 | The Arroyos Psychological Associates, Inc. | Psychologist | 1 West California Boulevard, Pasadena, CA 91105 | 2014-11-24 |
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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.