DR. MELANIE GREENBERG PH.D.
NPI 1114166568
Psychologist - Clinical in San Diego, CA

Active since February 09, 2009Opted out of Medicare · through Feb 10, 2027
12625 HIGH BLUFF DR STE 111, SAN DIEGO, CA 92130(415) 742-8062(415) 742-8062 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Melanie Greenberg Ph.d. NPPES

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

DR. MELANIE GREENBERG PH.D. (NPI 1114166568) is an individual clinical provider in San Diego, California, licensed in California (PSY22075) and active in the NPI registry since February 2009. She has opted out of Medicare through February 10, 2027.

NPPES Registry Identity

NPI1114166568
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELANIE GREENBERGCredential: PH.D.
Location Address12625 HIGH BLUFF DR STE 111San Diego, CA 92130-2053
Mailing Address8500 Old Stonefield ChaseSan Diego, CA 92127-6150 · (415) 742-8062 · Fax (415) 742-8062
Fax(415) 742-8062
Sole ProprietorYes
Enumeration DateFebruary 9, 2009
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1114166568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY22075
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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY22075 (CA)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY22075 (CA)
12625 HIGH BLUFF DR STE 111, San Diego, CA 92130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Melanie Greenberg Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2025 through February 10, 2027.

Opt-Out Effective DateFebruary 10, 2025
Opt-Out In Effect ThroughFebruary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Psychiatry)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychologist (Clinical Child & Adolescent)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Clinic/Center (Mental Health (Including Community Mental Health Center))
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychologist
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130

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 Melanie Greenberg's NPI number?

The NPI number for Melanie Greenberg is 1114166568. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Melanie Greenberg located?

Melanie Greenberg practices at 12625 High Bluff Dr Ste 111, San Diego, CA 92130. The listed phone number is (415) 742-8062.

What is Melanie Greenberg's specialty?

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

Is Melanie Greenberg enrolled in Medicare?

No. Melanie Greenberg has opted out of Medicare through February 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melanie Greenberg was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.