Active NPI
Alexa Michl, PSYD, MBA
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043786817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023105
- Practice address
- 726 Broadway Ste 471
New York, NY 10003-9616 - Phone
- (212) 998-4774
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023105 | NY | Primary |
Addresses
Primary practice location
726 Broadway Ste 471
New York, NY 10003-9616
Mailing address
726 Broadway
New York, NY 10003-9616
Phone (212) 998-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1043786817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039616",
"telephone_number": "212-998-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROADWAY STE 471",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039616",
"telephone_number": "212-998-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHL",
"first_name": "ALEXA",
"name_prefix": "Dr.",
"credential": "PSYD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.