Individual provider Active NPI

Melinda Ann Maria Zaccagnino, PSY.D., MFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1093052938
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37532 Issued in CA
Practice address
17821 17TH St
Tustin, CA 92780-2136
Phone
(714) 501-1650
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37532 CA Primary

Addresses

Primary practice location

17821 17TH St
Tustin, CA 92780-2136

Mailing address

17821 17TH St Ste 280
Tustin, CA 92780-2171
Phone (714) 501-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37532CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melinda Z. Aaskov, Psy.D. Marriage and Family Therapy, Inc Marriage & Family Therapist PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1093052938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 17TH ST STE 280",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802171",
            "telephone_number": "714-501-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 17TH ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802136",
            "telephone_number": "714-501-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCAGNINO",
        "first_name": "MELINDA",
        "middle_name": "ANN MARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.