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DR. MELISSA EMMERT PSY.D.
NPI 1033411434
Psychologist - Clinical in San Jose, CA

Active since November 17, 2010PECOS Enrolled
5755 COTTLE RD, BUILDING 4, SAN JOSE, CA 95123(408) 472-3095 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Melissa Emmert Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA EMMERT PSY.D. (NPI 1033411434) is an individual clinical provider in San Jose, California, licensed in California (PSY23783) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033411434
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELISSA EMMERTCredential: PSY.D.
Location Address5755 COTTLE RD, BUILDING 4San Jose, CA 95123-3640
Mailing Address5755 Cottle Rd, Building 4San Jose, CA 95123-3640
Phone(408) 472-3095
Sole ProprietorNo
Enumeration DateNovember 17, 2010
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1033411434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY23783
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5755 COTTLE RD, San Jose, CA 95123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Emmert Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Emmert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
12 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JIANBO JAMES SONG PHD
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Santa Clara County (408) 972-3330
DR. KRISTINA GRACE JOHNSON PH.D.
Psychologist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
MR. YANI BUNDROS LMFT
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
MOLLY ROSE ALLGOOD PSYD
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
SHANNON BARBARA MICHELSON
Social Worker (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (408) 972-3419
CODY LESNIAK
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (983) 201-2440
GINA LIU
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123
Santa Clara County (408) 972-3300
MS. JAZMINE H JUNG MS
Genetic Counselor, MS
5755 COTTLE RD, BLDG #1
SAN JOSE, CA 95123
Santa Clara County (408) 972-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Emmert's NPI number?

The NPI number for Melissa Emmert is 1033411434. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Where is Melissa Emmert located?

Melissa Emmert practices at 5755 Cottle Rd Building 4, San Jose, CA 95123. The listed phone number is (408) 472-3095.

What is Melissa Emmert's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Melissa Emmert enrolled in Medicare?

Yes. Melissa Emmert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Emmert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Emmert reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Emmert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Emmert was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.