Active NPI
Melissa S Stolsig, MS, MA, PSY.D.
- Clinical Psychologist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30738
- Practice address
- 1401 21St St Ste 4262
Sacramento, CA 95811-5226 - Phone
- (805) 910-7455
- Fax
- (805) 910-7455
- NPI assigned
- May 7, 2010
- Last updated
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 30738 | CA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 30738 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | 30738 | CA | |
| Clinical Psychologist | 103TC0700X | PSY.0005510 | CO | |
| Clinical Psychologist | 103TC0700X | 30738 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 30738 | CA | |
| Health Psychologist | 103TH0004X | 30738 | CA |
Addresses
Primary practice location
1401 21St St Ste 4262
Sacramento, CA 95811-5226
Mailing address
1401 21St St Ste 4262
Sacramento, CA 95811-5226
Phone (805) 910-7455
Other practice location 1
2001 S Barrington Ave
Suite 219
Los Angeles, CA 90025-5363
Phone (805) 910-7455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO, FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
360 Mobil Ave
Suite 102K
Camarillo, CA 93010-6356
Phone (805) 910-7455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30738 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Psychologist | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Psychologist | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychologist | Current | Accepting new patients |
| Stolsig Foundation | Current | Accepting new patients | |
| Elderly Behavioral Wellness Services Inc | Adult Development & Aging | Current | Accepting new patients |
Locations
2001 S Barrington Ave
Ste 219
Los Angeles, CA 90025
Phone (310) 445-9597
2001 S Barrington Ave
Ste 314
Los Angeles, CA 90025
Phone (310) 948-3422
1401 21st St
Ste 8122
Sacramento, CA 95811
Phone (805) 910-7455
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Interoperability endpoints
- melissastolsig@tdh.allscriptsdirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sacramento, CA
- NPI 1265991897
FL
-
- Adult Development & Aging Psychologist
- Los Angeles, CA
- NPI 1871983106
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sacramento, CA
- NPI 1679219208
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1699009753
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1881912301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 21ST ST STE 4262",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115226",
"telephone_number": "805-910-7455",
"fax_number": "805-910-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 21ST ST STE 4262",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115226",
"telephone_number": "805-910-7455",
"fax_number": "805-910-7455"
}
],
"practiceLocations": [
{
"address_1": "2001 S Barrington Ave",
"address_2": "Suite 219",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900255363",
"country_code": "US",
"telephone_number": "805-910-7455",
"fax_number": "805-910-7455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOLSIG",
"first_name": "MELISSA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MS, MA, PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-07",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "30738",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "30738",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "30738",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005510",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30738",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "30738",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "30738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.
- 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.