MEDICARE: DR. MELANIE VICTORIA HSU PH.D.

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	103TC0700X	Clinical Psychologist	PSY23914	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	WVE061	OTHER	NY	AGENCY MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1285628552	OTHER	NY	AGENCY NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821244229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE VICTORIA HSU PH.D.

Provider Business Mailing Address
First Line	:	6620 VIA DEL ORO
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119
Country	:	US
Telephone Number	:	408-360-2347
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 VIA DEL ORO
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1392
Country	:	US
Telephone Number	:	408-360-2350
Fax Number	:

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

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	03/12/2026

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