DR. MELISSA C ESTAVILLO (NPI# 1467744946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467744946 |
| Entity Type | Individual |
| Full Name | DR. MELISSA C ESTAVILLO |
| Credential | PSYD |
| Practice Address |
6245 N 24th Pkwy Suite 106 Phoenix AZ 85016-2024 |
| Practice Telephone | 4809997070 |
| Practice Fax Number | 4806582722 |
| Mailing Telephone | 4809997070 |
| Mailing Fax Number | 4806582722 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4179 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
6245 N 24TH PKWY SUITE 106 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005156 | Helene Marie Fearon | Physical Therapist | 6245 N 24th Pkwy, Ste 105, Phoenix, AZ 85016-2024 | 2005-07-01 |
| 1326411950 | Sheri Lyn Clark | Psychologist | 6245 N 24th Pkwy, Suite #106, Phoenix, AZ 85016-2024 | 2015-11-04 |
| 1407275282 | Surgcenter Camelback LLC | Clinic/Center | 6245 N 24th Pkwy, Suite 112, Phoenix, AZ 85016 | 2014-04-09 |
| 1558672642 | Lauren Joy Shafer | Physical Therapist | 6245 N 24th Pkwy, Phoenix, AZ 85016-2024 | 2010-06-23 |
| 1902120512 | Roessler Physical Therapy | Physical Therapist | 6245 N 24th Pkwy, Ste 105, Phoenix, AZ 85016-2024 | 2010-03-25 |
| 1205054095 | Biltmore Psychiatric Group | Psychiatry & Neurology | 6245 N 24th Pkwy, Ste 203, Phoenix, AZ 85016-2024 | 2007-04-24 |
| 1023063351 | Michael Thomas Oconnor | Physical Therapist | 6245 N 24th Pkwy, Phoenix, AZ 85016-2029 | 2006-05-24 |
| 1548215999 | Fearon Physical Therapy PC | Physical Therapist | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2024 | 2006-05-24 |
| 1154376507 | David Michael Roessler | Physical Therapist | 6245 N 24th Pkwy, Phoenix, AZ 85016-2029 | 2006-05-24 |
| 1760437065 | Lauri Lazarus | Physical Therapist | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2024 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1346890308 | Michael D Rabara | Psychologist | 1450 E Indian School Rd Ste 106, Phoenix, AZ 85014-4954 | 2019-09-12 |
| 1790331940 | Brittany Friedman | Psychologist | 650 E Indian School Rd Bldg 21, Phoenix, AZ 85012-1839 | 2019-08-14 |
| 1336705888 | Alice Claudia Pickering | Psychologist | 2955 W Villa Maria Dr, Phoenix, AZ 85053-1107 | 2019-05-09 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1346725249 | Katharine D Sluys | Psychologist | 205 N Phoenix Rd Ste A, Phoenix, OR 97535-9100 | 2018-09-27 |
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1073028023 | Jodi Ralyn Cuneo | Psychologist | 5060 N 19th Ave Ste 101, Phoenix, AZ 85015-3211 | 2017-12-12 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.