Melissa Marcia Campitelli-Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20612 Issued in CA

Practice address

1370 Valley Vista Dr
Suite 104
Diamond Bar, CA 91765-3911

Phone

(909) 860-2166

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Melissa Marcia Campitelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tammy a Ouellette Psy.D. Apc

  • Psychologist
  • Fullerton, CA
  • NPI 1528246394
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891809786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926091355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR",
            "address_2": "SUITE 104",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653911",
            "telephone_number": "909-860-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPITELLI-SMITH",
        "first_name": "MELISSA",
        "middle_name": "MARCIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CAMPITELLI",
            "middle_name": "MARCIA",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Chen Butler, LCSW
• Faisal Karim Butt, M.SC
• Robert Cadiz
• Joseph Godoy Cala, PTA
• California Dermatology Center
• Roberto Santos Capistrano, PT
• Giovanna Carbajal, LCSW
• Care Professionals Home Care Inc
• Careone Medical Group, Inc
• Careone Medical Group, Inc.

• Clinical Psychologist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.