Staci Melissa Mintz

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

19013 Vanowen St
Reseda, CA 91335-5115

Phone

(818) 968-1215

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Mpower, Inc

  • Group Psychotherapy Psychologist
  • Encino, CA
  • NPI 1700661899
  NPD (past) Authorized official
• Dr. Staci Wold Psychological Services Corporation

  • Clinical Psychologist
  • Encino, CA
  • NPI 1093643439
  NPD
• Ramin Ganjianpour, M.D., Inc.

  • Specialist
  • Mission Hills, CA
  • NPI 1184824146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1881113835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161517",
            "telephone_number": "818-968-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19013 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355115",
            "telephone_number": "818-968-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "STACI",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Valley Surgical Center, Inc.
• Midway Podiatry Clinic Inc
• Milton L. Payne Incorporated
• Sirak Minasyan
• Haroutyun Garry Mintandjian, PTA
• Babak Mirabadi, DC
• Miras Home Health Care, Inc.
• Miras Hospice Care, Inc.
• Svetlana Mironova, L.AC
• Mirshojae Chiropractic Inc.

• Psychologist in Reseda, CA
• Providers in Reseda, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.