Healthcare Provider Details

I. General information

NPI: 1326970237
Provider Name (Legal Business Name): MELISSA GODOY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 WILLIAMS RD
SAN JOSE CA
95117-2737
US

IV. Provider business mailing address

PO BOX 41132
SAN JOSE CA
95160-1132
US

V. Phone/Fax

Practice location:
  • Phone: 408-287-2640
  • Fax: 408-287-7428
Mailing address:
  • Phone: 408-287-2640
  • Fax: 408-287-7428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: