Active NPI
Melissa Jones Cantekin, PH.D.
- Counseling Psychologist
- Santa Barbara, CA
National Provider Identifier
1265756803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- CAPSY#22622
- Practice address
- 1129 State Street
Suite 3-G
Santa Barbara, CA 93101-6752 - Phone
- (805) 965-9508
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | CAPSY#22622 | CA | Primary |
| Health Psychologist | 103TH0004X | CAPSY#22622 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | CAPSY#22622 | CA |
Addresses
Primary practice location
1129 State Street
Suite 3-G
Santa Barbara, CA 93101-6752
Mailing address
1129 State Street
Suite 3-G
Santa Barbara, CA 93101-6752
Phone (805) 965-9508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101030000215 | CA | Practitioner - Psychologist Billing Independently | 9638363989 | Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1129 State St
3G
Santa Barbara, CA 93101-6752
Phone (805) 965-9508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAPSY#22622 | CA | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1265756803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 STATE STREET",
"address_2": "SUITE 3-G",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931016752",
"telephone_number": "805-965-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 STATE STREET",
"address_2": "SUITE 3-G",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931016752",
"telephone_number": "805-965-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTEKIN",
"first_name": "MELISSA",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "CAPSY#22622",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "CAPSY#22622",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "CAPSY#22622",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.