Healthcare Provider Details

I. General information

NPI: 1508159872
Provider Name (Legal Business Name): ROSS HENRY MELTER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MUIR RD BLDG 25
MARTINEZ CA
94553-4668
US

IV. Provider business mailing address

150 MUIR RD BLDG 25
MARTINEZ CA
94553-4668
US

V. Phone/Fax

Practice location:
  • Phone: 925-372-2393
  • Fax:
Mailing address:
  • Phone: 925-372-2393
  • Fax: 925-372-2687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY34488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: