MELISSA FILLMORE PMHNP-BC NPI 1356855142

NPI Information

  • NPI: 1356855142
  • Provider Name: MELISSA FILLMORE, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 WILSHIRE BLVD STE 320
    SANTA MONICA, CA
    ZIP 90403
  • Phone: (310) 566-2006

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NPI Details

Melissa Fillmore, PMHNP-BC is a psychiatric/mental health nurse practitioner in Santa Monica, CA with 8 years of experience. Melissa Fillmore, PMHNP-BC NPI is 1356855142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 WILSHIRE BLVD STE 320
SANTA MONICA, CA
ZIP 90403-683
Phone: (310) 566-2006
Fax: (424) 322-1214

The NPI 1356855142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2017 and was last updated on 2/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentRN.428291OHIONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNP95013755CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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