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DR. MELISSA DIANE BOUDIN PSY.D.
NPI 1053752634
Psychologist - Clinical in Pacoima, CA

Active since July 11, 2013
12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 91331(818) 896-1161(818) 896-5069 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2017, May 18, 2016 (2 updates tracked since 2016).

About Dr. Melissa Diane Boudin Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA DIANE BOUDIN PSY.D. (NPI 1053752634) is an individual clinical provider in Pacoima, California, licensed in California (PSY26430) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1053752634
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELISSA DIANE BOUDINCredential: PSY.D.
Location Address12450 VAN NUYS BLVD, SUITE 200Pacoima, CA 91331-1391
Mailing Address12450 Van Nuys Blvd, Suite 200Pacoima, CA 91331-1391 · (818) 896-1161 · Fax (818) 896-5069
Phone(818) 896-1161
Fax(818) 896-5069
Sole ProprietorNo
Enumeration DateJuly 11, 2013
Last NPPES UpdateFebruary 15, 20172 updates tracked since enumeration
✔ NPI 1053752634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY26430
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

12450 VAN NUYS BLVD, Pacoima, CA 91331
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Other Identifiers 3

Medicaid7420CA
Medicaid7068CA
Medicaid6758CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CESAR FRANCO
Case Manager/Care Coordinator
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MRS. SUE NOVACK SORENSEN LCSW
Social Worker (Clinical)
12450 VAN NUYS BLVD, 100
PACOIMA, CA 91331
Los Angeles County (818) 896-8366
VALENTINA USUBYAN
Counselor (Mental Health)
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MARIA DIAZ
Peer Specialist
12450 VAN NUYS BLVD, 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MR. VERNON WOLF WINDELL MFT
Marriage & Family Therapist
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELENA KARENEV
Counselor (Mental Health)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELANI TUCHMAN M.A.
Psychologist (Clinical)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
SAM MAVIS
Student in an Organized Health Care Education/Training Program
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Boudin's NPI number?

The NPI number for Melissa Boudin is 1053752634. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Melissa Boudin located?

Melissa Boudin practices at 12450 Van Nuys Blvd Suite 200, Pacoima, CA 91331. The listed phone number is (818) 896-1161.

What is Melissa Boudin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Melissa Boudin was last updated on February 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.