Michelle Marie Cani Battin, BA, MA, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60655194 Issued in WA

Practice address

8290 165TH Ave NE
Redmond, WA 98052-3948

Phone

(425) 869-2644

Fax

(425) 867-0930

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Marie Cani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1093964561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NW GILMAN BLVD UNIT 571",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270292",
            "telephone_number": "626-344-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 165TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523948",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 NW Gilman Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275364",
            "country_code": "US",
            "telephone_number": "626-344-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTIN",
        "first_name": "MICHELLE",
        "middle_name": "MARIE CANI",
        "credential": "BA, MA, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26203",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60655194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CANI",
            "middle_name": "MARIE",
            "credential": "BA, MA, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bartell Drug
• Sarah Sun Hee Bartholomew, LMP
• Ricardo Bass
• Morgan Bates, LSWAIC
• Clare L Batley, LMFTA
• Andrea Lynn Baue-Scott, L.M.P.
• Yan Liu Baum, MD
• Sarah Jean Baxter, LMP, MMLT
• Robert Hugh Bayles, MD
• Barbara Beach-Moody, LMP, GCFT

• Clinical Psychologist in Redmond, WA
• Providers in Redmond, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.