DR. MELISSA C ESTAVILLO PSYD
NPI 1467744946
Psychologist - Clinical in Phoenix, AZ

Active since May 03, 2011Opted out of Medicare · through Apr 1, 2028
6245 N 24TH PKWY, SUITE 106, PHOENIX, AZ 85016(480) 999-7070(480) 658-2722 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Melissa C Estavillo Psyd NPPES

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

DR. MELISSA C ESTAVILLO PSYD (NPI 1467744946) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (4179) and active in the NPI registry since May 2011. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467744946
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELISSA C ESTAVILLOCredential: PSYD
Location Address6245 N 24TH PKWY, SUITE 106Phoenix, AZ 85016-2024
Mailing Address6245 N 24th Pkwy, Suite 106Phoenix, AZ 85016-2024 · (480) 999-7070 · Fax (480) 658-2722
Fax(480) 658-2722
Sole ProprietorYes
Enumeration DateMay 3, 2011
Last NPPES UpdateAugust 3, 2012
NPI 1467744946 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 AZ · 4179
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.
6245 N 24TH PKWY, Phoenix, AZ 85016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Melissa C Estavillo Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Physical Therapist
6245 N 24TH PKWY
PHOENIX, AZ 85016
Physical Therapist
6245 N 24TH PKWY
PHOENIX, AZ 85016
Physical Therapist
6245 N 24TH PKWY
PHOENIX, AZ 85016
Psychiatry & Neurology (Psychosomatic Medicine)
6245 N 24TH PKWY, STE 203
PHOENIX, AZ 85016
Psychiatry & Neurology (Psychiatry)
6245 N 24TH PKWY, 203
PHOENIX, AZ 85016
Clinic/Center (Ambulatory Surgical)
6245 N 24TH PKWY, SUITE 112
PHOENIX, AZ 85016
Hospice Care, Community Based
6245 N 24TH PKWY, SUITE 200-A
PHOENIX, AZ 85016
Physical Therapist
6245 N 24TH PKWY, SUITE 105
PHOENIX, AZ 85016

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 Estavillo's NPI number?

The NPI number for Melissa Estavillo is 1467744946. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Melissa Estavillo located?

Melissa Estavillo practices at 6245 N 24th Pkwy Suite 106, Phoenix, AZ 85016. The listed phone number is (480) 999-7070.

What is Melissa Estavillo's specialty?

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

Is Melissa Estavillo enrolled in Medicare?

No. Melissa Estavillo has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melissa Estavillo was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.