MELLISSA DERDER LVN
NPI 1417185059
Licensed Psychiatric Technician in Chico, CA

Active since June 22, 2009
592 RIO LINDO AVE, CHICO, CA 95926(530) 891-2999 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mellissa Derder Lvn NPPES

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

MELLISSA DERDER LVN (NPI 1417185059) is an individual licensed psychiatric technician in Chico, California, licensed in California (PT34371) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1417185059
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMELLISSA DERDERCredential: LVN
Location Address592 RIO LINDO AVEChico, CA 95926-1817
Mailing Address457 Scarlet Oak DrGridley, CA 95948-3221 · (530) 846-4888
Sole ProprietorNo
Enumeration DateJune 22, 2009
NPI 1417185059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · PT34371
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
592 RIO LINDO AVE, Chico, CA 95926

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.

Licensed Vocational Nurse
592 RIO LINDO AVE
CHICO, CA 95926
Counselor (Mental Health)
592 RIO LINDO AVE
CHICO, CA 95926
Licensed Vocational Nurse
592 RIO LINDO AVE
CHICO, CA 95926
Counselor (Mental Health)
592 RIO LINDO AVE
CHICO, CA 95926
Counselor (Mental Health)
592 RIO LINDO AVE
CHICO, CA 95926
Counselor (Mental Health)
592 RIO LINDO AVE
CHICO, CA 95926
Licensed Vocational Nurse
592 RIO LINDO AVE
CHICO, CA 95926
Licensed Vocational Nurse
592 RIO LINDO AVE
CHICO, CA 95926

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 Mellissa Derder's NPI number?

The NPI number for Mellissa Derder is 1417185059. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Mellissa Derder located?

Mellissa Derder practices at 592 Rio Lindo Ave, Chico, CA 95926. The listed phone number is (530) 891-2999.

What is Mellissa Derder's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Mellissa Derder was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.