Michael Slone

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LEP3017 Issued in CA

Practice address

455 Los Gatos Blvd Ste 104
Los Gatos, CA 95032-5523

Phone

(408) 355-0019

NPI assigned

Jun 25, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Developing Minds Medical Corporation

  • Developmental - Behavioral Pediatrics Physician
  • Los Gatos, CA
  • NPI 1083748248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1063894079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LOS GATOS BLVD STE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LOS GATOS BLVD STE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325523",
            "telephone_number": "408-355-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5905 Soquel Dr",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732855",
            "country_code": "US",
            "telephone_number": "408-355-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLONE",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP3017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart A Slamowitz, DPM
• Lisa Anne Slavit, O.D.
• Sleep Medicine Center
• Sleepquest, Inc.
• Elizabeth Tis Sleeth, CMT, MA
• Ralph L Smathers, M.D.
• Edward John Smith, LMFT
• John Philip Smith, MD
• Kyle A Smith, MPT, ATC
• Lindsay Smith, LCSW

• Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.