Provider Demographics
NPI:1013246495
Name:JINARIU, MELISSA L (PSYD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:L
Last Name:JINARIU
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:L
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:27201 TOURNEY RD STE 201G
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1804
Mailing Address - Country:US
Mailing Address - Phone:661-904-0088
Mailing Address - Fax:
Practice Address - Street 1:3671 BUSINESS CENTER DR.
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820
Practice Address - Country:US
Practice Address - Phone:916-734-2278
Practice Address - Fax:916-734-4150
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26316103TC2200X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent