Provider Demographics
NPI:1780025338
Name:KAE, MELISSA BESS (PSYD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BESS
Last Name:KAE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:BESS
Other - Last Name:KASTNER-TREISMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:4240 KEARNY MESA RD.
Mailing Address - Street 2:STE 120 #1216
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111
Mailing Address - Country:US
Mailing Address - Phone:619-333-0783
Mailing Address - Fax:
Practice Address - Street 1:979 WORTHINGTON ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-5133
Practice Address - Country:US
Practice Address - Phone:619-333-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA30108103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program