Provider Demographics
NPI:1528151081
Name:MELNY, RICHARD ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:MELNY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2001 DWIGHT WAY
Mailing Address - Street 2:DEPT. OF PSYCHIATRY, THIRD FLOOR
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704
Mailing Address - Country:US
Mailing Address - Phone:510-204-4490
Mailing Address - Fax:510-294-3060
Practice Address - Street 1:2001 DWIGHT WAY
Practice Address - Street 2:DEPT. OF PSYCHIATRY, THIRD FLOOR
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704
Practice Address - Country:US
Practice Address - Phone:510-204-4490
Practice Address - Fax:510-294-3060
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC366472084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry