STACI MELISSA MINTZ
NPI 1881113835
Psychologist in Reseda, CA
About Staci Melissa Mintz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI MELISSA MINTZ (NPI 1881113835) is an individual psychologist in Reseda, California and active in the NPI registry since September 2017. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Staci Melissa Mintz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Staci Mintz's NPI number?
The NPI number for Staci Mintz is 1881113835. It was assigned to this individual provider in the NPPES registry on September 11, 2017.
Where is Staci Mintz located?
Staci Mintz practices at 19013 Vanowen St, Reseda, CA 91335. The listed phone number is (818) 968-1215.
What is Staci Mintz's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Staci Mintz enrolled in Medicare?
Yes. Staci Mintz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Staci Mintz was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.