MELISSA MARIE BROCK (NPI# 1679041636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679041636 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE BROCK |
| Other Name | MELISSA MARIE AMMERMAN |
| Practice Address |
679 S New Hampshire Ave Los Angeles CA 90005-1355 |
| Mailing Address |
1931 Erin Ave Upland CA 91784-1545 |
| Practice Telephone | 6262545000 |
| Mailing Telephone | 9097718852 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 41003 | CA | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149090 | Melissa Sue Brock | Nurse Practitioner | 139 Aaron Rd, West Monroe, LA 71292-3384 | 2020-06-17 |
| 1184001208 | Melissa Renee Brock | Acupuncturist | 10211 Sw Barbur Blvd Ste 105a, Portland, OR 97219-5934 | 2015-04-27 |
| 1073824884 | Melissa Leigh Brock | Physical Therapy Assistant | 701 Cashua Ferry Road--mcleod Darlington, Darlington, SC 29532-8488 | 2010-06-25 |
| 1598931040 | Melissa Y Brock | Nurse Practitioner | 2415 Directors Row, Suite C, Indianapolis, IN 46241-4940 | 2008-05-05 |
| 1902435456 | Melissa Elaine Brock | Nurse Practitioner | 2911 Medical Arts St Ste 10, Austin, TX 78705-3302 | 2020-04-06 |
| 1457735268 | Melissa Dawn Brock | Counselor | 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | 2015-07-13 |
| 1992042105 | Melissa Rhynes Brock | Counselor | 1310 Raeford Rd, Suite 2, Fayetteville, NC 28305-5085 | 2013-01-08 |
| 1780981472 | Melissa L Brock | Specialist/Technologist, Other | 5353 Reynolds St, Savannah, GA 31405-6015 | 2011-02-16 |
| 1932435435 | Melissa Brock | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2009-10-19 |
| 1508950858 | Melissa Jill Brock | Social Worker | 926 W Oakland Ave, Suite 226, Johnson City, TN 37604-1445 | 2006-10-03 |
| Street Address |
679 S NEW HAMPSHIRE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205782 | Cipriano Edward Pinkney | Counselor | 679 S New Hampshire Ave, 400, Los Angeles, CA 90005-1355 | 2006-11-27 |
| 1366059669 | Catarina F Fleury | Registered Nurse | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-09-30 |
| 1154941821 | Daniel Mendez | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-04-22 |
| 1891320909 | Isabella Ballerini | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-03-09 |
| 1619514239 | Shannon Michelle Sullivan | Rehabilitation Practitioner | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-12-02 |
| 1396394094 | Jessica Destiny Jones | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-09-05 |
| 1518519313 | Edward K Cho | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-07-11 |
| 1679134886 | Joshua Xiong | Counselor | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-27 |
| 1114586310 | Alejandro De La Torre | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-11 |
| 1063078202 | Wendell Sacramento | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
| 1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
| 1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
| 1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
| 1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
| 1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
| 1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
| 1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on MELISSA MARIE BROCK.
| 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.