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Melissa Jackson

Behavior Analyst β€’ San Jose, CA

Active NPI 1780176636 Individual Practitioner Female Practitioner
Practice location in NPPES

1101 S Winchester Blvd Ste N-260
San Jose, CA 95128

Call 4086894900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1101 S Winchester Blvd Ste N-260

San Jose, CA 95128

Telephone 4086894900
Organization at the Same NPPES Address or Phone
Catalight Psychology Associates Pc Facility NPI 1548036742

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Honolulu, HI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Jose and California

397 active clinicians are listed under Behavior Analyst with a practice address in San Jose, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Jose

0% of these 397 clinicians have the CMS telehealth indicator.

0% of these 397 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

200 N Vineyard Blvd Ste A600

Honolulu, HI 968173950

Phone: 8085238188

200 N Vineyard Blvd Ste A600

Honolulu, HI 968173950

Phone: 8085238188

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 02, 2019

Registered at 1101 S WINCHESTER BLVD STE N-260, SAN JOSE, CA 95128 (Tel: 4086894900)

πŸ“
Updated Business Mailing Address October 02, 2019

Registered at 2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 945982538

βœ…
NPI Profile Active June 05, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2018

Registered at 200 N VINEYARD BLVD STE A600, HONOLULU, HI 968173950 (Tel: 8085238188)

πŸ“
Business Mailing Address (Initial Record) June 05, 2018

Registered at 710 GREEN ST, HONOLULU, HI 968132119 (Tel: 8085238188)

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2018

Recorded as MELISSA JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 05, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780176636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2018
Last Update: October 02, 2019
Sole Proprietor: No

Mailing Address

2730 Shadelands Dr Bldg 10

Walnut Creek, CA 945982538

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.