Individual provider Active NPI

Melissa S Stolsig, MS, MA, PSY.D.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1881912301
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30738 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190424001012 CA Practitioner - Clinical Psychologist 1153663026 Reassigns benefits to 4 organizations
I20210804002230 CO Practitioner - Clinical Psychologist 1153663026 Reassigns benefits to 1 organization
I20210901002929 FL Practitioner - Clinical Psychologist 1153663026 Reassigns benefits to 1 organization
I20231103001543 NY Practitioner - Clinical Psychologist 1153663026 Reassigns benefits to 1 organization

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
Turning Point Psychology Center, Inc.Group PAC ID 5890037766, 2 clinicians

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

LicenseStateTypeSpecialty
30738CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychologist CurrentSince Jun 8, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
Grow Healthcare Group PA Psychologist CurrentSince Oct 4, 2023 Accepting new patients
Stolsig Foundation CurrentSince May 1, 2022 Accepting new patients
Elderly Behavioral Wellness Services Inc Adult Development & Aging CurrentSince Feb 14, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.