Individual provider Active NPI

Melanie Ann Marie Schutt, PPS

  • School Psychologist
  • Vista, CA
National Provider Identifier
1255926929
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
160164345 Issued in CA
Practice address
1580 Shadowridge Dr Apt 167
Vista, CA 92081-9036
Phone
(619) 768-3882
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 160164345 CA Primary

Addresses

Primary practice location

1580 Shadowridge Dr Apt 167
Vista, CA 92081-9036

Mailing address

1580 Shadowridge Dr Apt 167
Vista, CA 92081-9036
Phone (619) 768-3882

Other names 1

  • Melanie Ann Marie Akiki Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Vista

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
160164345CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1255926929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SHADOWRIDGE DR APT 167",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920819036",
            "telephone_number": "619-768-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SHADOWRIDGE DR APT 167",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920819036",
            "telephone_number": "619-768-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "MELANIE",
        "middle_name": "ANN MARIE",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "160164345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vista",
            "affiliation": "N",
            "address_1": "1580 Shadowridge Dr Apt 167",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920819036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "AKIKI",
            "middle_name": "ANN MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.