Active NPI
Melissa J Thomasson, PSYCHOLOGIST
- Clinical Psychologist
- Lompoc, CA
National Provider Identifier
1396849311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10218
- Practice address
- 205 N H St
Suite 214
Lompoc, CA 93436-6026 - Phone
- (805) 245-8652
- NPI assigned
- Sep 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10218 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC12439 | CA |
Addresses
Primary practice location
205 N H St
Suite 214
Lompoc, CA 93436-6026
Mailing address
205 N H St
Suite 214
Lompoc, CA 93436-6026
Phone (805) 245-8652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190920002837 | CA | Practitioner - Clinical Psychologist | 3375873193 | Practice locations: Lompoc, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10218 | CA | MD | Clinical Psychologist |
| MFC12439 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1396849311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N H ST",
"address_2": "SUITE 214",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366026",
"telephone_number": "805-245-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N H ST",
"address_2": "SUITE 214",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366026",
"telephone_number": "805-245-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASSON",
"first_name": "MELISSA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10218",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC12439",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.