Michael Minzenberg, MD, a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MICHAEL MINZENBERG, MD, A MEDICAL CORPORATION

Practice address

895 Moraga Rd Ste 15
Lafayette, CA 94549-5045

Phone

(510) 225-5739

Fax

(833) 615-1119

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Michael Minzenberg, MD

Title

Director

Phone

(510) 225-5739

Specialties & licenses 1

Addresses

Other names 1

• California Neuromodulation Institute Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1114698354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD STE 15",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495045",
            "telephone_number": "510-225-5739",
            "fax_number": "833-615-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD STE 15",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495045",
            "telephone_number": "510-225-5739",
            "fax_number": "833-615-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MINZENBERG, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "MINZENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-225-5739",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drminzenberg@canmi.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "895 Moraga Rd Ste 15",
            "city": "Lafayette",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945495045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "California Neuromodulation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Mendelssohn, MD, FACOG, FABIHM
• Erica Maria Mendez
• Monica Mendez
• Rosalia Allan Mendoza, MD
• William Thomas Merriman, D.C.
• Andrew Michaels, PH.D.
• Mary Roy Michaels, MFT
• Patricia Mickens, MFT
• Mary Lou Mied, PH.D.
• Maya Millar

• Psychiatry Physician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.