Individual provider Active NPI

Melissa Ann Delis, MS

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1699961920
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF43883 Issued in CA
Practice address
5301 Office Park Dr Ste 225
Bakersfield, CA 93309-0666
Phone
(661) 978-4779
Fax
(661) 397-8286
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 IMF43883 CA Primary

Addresses

Primary practice location

5301 Office Park Dr Ste 225
Bakersfield, CA 93309-0666

Mailing address

5301 Office Park Dr Ste 225400
Bakersfield, CA 93309-0677
Phone (661) 978-4779

Other names 1

  • Melissa Ann Prewett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF43883CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Past 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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1699961920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 OFFICE PARK DR STE 225400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090677",
            "telephone_number": "661-978-4779",
            "fax_number": "661-869-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 OFFICE PARK DR STE 225",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090666",
            "telephone_number": "661-978-4779",
            "fax_number": "661-397-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF43883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PREWETT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.