Active NPI
Melissa Lee Chisari-Noori
- Clinical Psychologist
- Thousand Oaks, CA
National Provider Identifier
1982898748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23686
- Practice address
- 101 Hodencamp Rd
Suite 114
Thousand Oaks, CA 91360-5836 - Phone
- (805) 795-2602
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23686 | CA | Primary |
Addresses
Primary practice location
101 Hodencamp Rd
Suite 114
Thousand Oaks, CA 91360-5836
Mailing address
PO Box 1867
Thousand Oaks, CA 91358-1867
Phone (805) 795-2602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23686 | CA | MD | Clinical Psychologist |
| 23686 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1982898748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1867",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913581867",
"telephone_number": "805-795-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HODENCAMP RD",
"address_2": "SUITE 114",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605836",
"telephone_number": "805-795-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISARI-NOORI",
"first_name": "MELISSA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.