Provider Demographics
NPI:1528880267
Name:KAYE, MELINDA NESTOR (AMFT)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:NESTOR
Last Name:KAYE
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:KATHRYN SHERMAN
Other - Last Name:NESTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT
Mailing Address - Street 1:3923 FERNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-4735
Mailing Address - Country:US
Mailing Address - Phone:734-646-6957
Mailing Address - Fax:
Practice Address - Street 1:4505 LAS VIRGENES RD STE 217
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1956
Practice Address - Country:US
Practice Address - Phone:818-889-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133772106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist