MEDICARE: MELANIE FAITH SIEGEL LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	160178	CA

General Provider Information

NPI Number	:	1891650594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE FAITH SIEGEL LMFT

Provider Business Mailing Address
First Line	:	216 S GALE DR APT D
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3445
Country	:	US
Telephone Number	:	203-246-6897
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 HILLHURST AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-2712
Country	:	US
Telephone Number	:	203-246-6897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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