Individual provider Active NPI

Melissa Jones Cantekin, PH.D.

  • Counseling Psychologist
  • Santa Barbara, CA
National Provider Identifier
1265756803
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
CAPSY#22622 Issued in CA
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

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
CAPSY#22622CAMDHealth 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.

Verify at the official NPI Registry.