Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Staci Melissa Mintz

Individual provider Psychologist · NPI 1881113835

Staci Melissa Mintz is a Clinical Psychologist in Reseda, California. Qualified in 2020, 6 years ago. Registered with an NPI since 2017.

Years since qualifying
6
In the registry since
2017
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Practice location Address checks out

19013 Vanowen St
Reseda, CA 91335-5115
Phone: (818) 968-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1881113835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2017
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address6345 Balboa Blvd Ste 212, Encino, CA 91316-1517

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Reseda