Midpen Resident Services

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

MIDPEN RESIDENT SERVICES

Practice address

650 San Antonio Rd
Palo Alto, CA 94306-4711

Phone

(650) 356-2900

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Goggins-Gregory

Title

Senior Vice President

Phone

(650) 356-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1114674546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VINTAGE PARK DR STE 250",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041176",
            "telephone_number": "650-356-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SAN ANTONIO RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064711",
            "telephone_number": "650-356-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Soledad St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012963",
            "country_code": "US",
            "telephone_number": "650-356-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Vintage Park Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944041176",
            "country_code": "US",
            "telephone_number": "650-356-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDPEN RESIDENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "GOGGINS-GREGORY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "650-356-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Graca Medeiros
• Michelle Haghpanah D.D.S., M.P.H., P.C.
• Gabriele Jessica Mickevicius, PT
• Mid Peninsula Speech and Language Clinic
• Mid-Peninsula Eating Disorder Clinic, a Marriage and Family Therapy Co
• Bethel Roba Mieso, MD
• Riley Mihelich
• Chantal Nathalie Mihm, PSY.D.
• Lauren A Mikula Schneider, PSYD
• Beatriz L Mileham, PH.D.

• Supports Brokerage Agency in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.