1. Home
  2. Directory
  3. California
  4. Elk Grove
  5. Psychologist
  6. NPI Profile

MELODY HSIN LIU KANG PSYD, BCBA
NPI 1548694367
Psychologist - Clinical Child & Adolescent in Elk Grove, CA

Active since August 28, 2013PECOS Enrolled
9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5885 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Jun 20, 2019, Sep 12, 2016 (3 updates tracked since 2016).

About Melody Hsin Liu Kang Psyd, Bcba NPPES

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

MELODY HSIN LIU KANG PSYD, BCBA (NPI 1548694367) is an individual clinical child & adolescent provider in Elk Grove, California, licensed in California (30658) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548694367
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMELODY HSIN LIU KANGCredential: PSYD, BCBA
Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240
Mailing Address9201 Big Horn BlvdElk Grove, CA 95758-1240 · (916) 478-5885
Phone(916) 478-5885
Sole ProprietorNo
Enumeration DateAugust 28, 2013
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
✔ NPI 1548694367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · 30658
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1118920 (CA)
9201 BIG HORN BLVD, Elk Grove, CA 95758
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melody Hsin Liu Kang Psyd, Bcba 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 Melody Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
29 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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.

KIMBERLY T JOHNSON LCSW
Social Worker (Clinical)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5861
DR. JEANNE MARIE TAYLOR DO
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5100
MORIAH MYLES LMFT 153459
Marriage & Family Therapist
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5878
DR. CHUNG-YIN STANLEY CHAN M.D.
Dermatology
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5660
MARY P MANU
Nurse Practitioner
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5100
JOSE V. SUMAQUIAL MD
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5000
KRISTIN G LEACH MD
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5000
ANA LYNN THOM
Registered Nurse (Administrator)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-5786

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 Melody Kang's NPI number?

The NPI number for Melody Kang is 1548694367. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Melody Kang located?

Melody Kang practices at 9201 Big Horn Blvd, Elk Grove, CA 95758. The listed phone number is (916) 478-5885.

What is Melody Kang's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Melody Kang enrolled in Medicare?

Yes. Melody Kang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melody Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melody Kang reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Melody Kang'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 Melody Kang 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.