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DR. MELISSA LYNN KEANE PHD
NPI 1073091765
Psychologist - Clinical in Stockton, CA

Active since August 03, 2018PECOS Enrolled
7373 WEST LN, STOCKTON, CA 95210(209) 476-5129 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Aug 3, 2018 (2 updates tracked since 2018).

About Dr. Melissa Lynn Keane Phd NPPES

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

DR. MELISSA LYNN KEANE PHD (NPI 1073091765) is an individual clinical provider in Stockton, California, licensed in California (29955) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073091765
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELISSA LYNN KEANECredential: PHD
Location Address7373 WEST LNStockton, CA 95210-3377
Mailing Address2138 Seahawk LnLodi, CA 95240-7807 · (209) 712-9521
Phone(209) 476-5129
Sole ProprietorNo
Enumeration DateAugust 3, 2018
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1073091765 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 · 29955
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.
7373 WEST LN, Stockton, CA 95210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Lynn Keane Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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. SYLVIA FERNANDES M.D.
Physical Medicine & Rehabilitation
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
AMPARO ROMERO-HIRAHARA MD
Pediatrics
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DHIREN V. NANAVATI MD
Orthopaedic Surgery
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DR. LUIS CYRUS MONTES DE OCA DO
Psychiatry & Neurology (Psychiatry)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
MISS ROSARIO AGUIRRE RD
Dietitian, Registered
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-5186
XING-JIAN LU MD
Internal Medicine
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DINAH J. HANNA MD
Surgery (Vascular Surgery)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
MOSES ELAM MD
Dermatology
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000

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 Keane's NPI number?

The NPI number for Melissa Keane is 1073091765. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Melissa Keane located?

Melissa Keane practices at 7373 West Ln, Stockton, CA 95210. The listed phone number is (209) 476-5129.

What is Melissa Keane's specialty?

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

Is Melissa Keane enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Keane 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.