Healthcare Provider Details

I. General information

NPI: 1730496183
Provider Name (Legal Business Name): MELISSA FRANCES MISCHKA PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14350 CIVIC DR STE 180
VICTORVILLE CA
92392-2348
US

IV. Provider business mailing address

PO BOX 2392
HELENDALE CA
92342-2392
US

V. Phone/Fax

Practice location:
  • Phone: 442-229-2042
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY28982
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number28982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: