Healthcare Provider Details

I. General information

NPI: 1447683552
Provider Name (Legal Business Name): MS. MELISSA WEI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2013
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date: 05/17/2022
Reactivation Date: 06/07/2022

III. Provider practice location address

675 18TH ST
SAN FRANCISCO CA
94143-4200
US

IV. Provider business mailing address

675 18TH ST
SAN FRANCISCO CA
94143-4200
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY34844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: