Individual provider Active NPI

Melissa Maccarini

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1700496304
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35551 Issued in CA
Practice address
1000 W Carson St # 488
Torrance, CA 90502-2004
Phone
(424) 306-5737
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY35551 CA Primary

Addresses

Primary practice location

1000 W Carson St # 488
Torrance, CA 90502-2004

Mailing address

1000 W Carson St # 488
Torrance, CA 90502-2004
Phone (424) 306-5737

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35551CAMDClinical Psychologist
35551CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychology Group, Inc. Clinical CurrentSince Nov 6, 2024 Accepting new patients

Locations

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1700496304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 488",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "424-306-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 488",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "424-306-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARINI",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.