Provider Demographics
NPI:1861932816
Name:MELISSA HUY, PH.D., INC.
Entity type:Organization
Organization Name:MELISSA HUY, PH.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:714-936-0528
Mailing Address - Street 1:4430 E MIRALOMA AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-1840
Mailing Address - Country:US
Mailing Address - Phone:714-693-9388
Mailing Address - Fax:
Practice Address - Street 1:4430 E MIRALOMA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-1840
Practice Address - Country:US
Practice Address - Phone:714-693-9388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18078261Q00000X, 103T00000X, 103TC0700X, 103TC2200X, 103TF0000X, 103TB0200X, 103TS0200X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty