Michelle Lynn Souza, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23738 Issued in CA

Practice address

23456 Park Colombo
Calabasas, CA 91302-2813

Phone

(818) 800-4008

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1164557310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 PARK COLOMBO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022813",
            "telephone_number": "818-800-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 PARK COLOMBO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022813",
            "telephone_number": "818-800-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23480 Park Sorrento Ste 220",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021306",
            "country_code": "US",
            "telephone_number": "818-900-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23738",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soberdash LLC
• Jehun Sohn, L,AC
• Alyssa Solomon, BCBA
• Sonic Radiology Services
• Matheu B. Sonne
• Michael Anthony Spagnoli, D.C.
• Shani Spector
• Sports Motion Physical Therapy
• Bethany Stafford, M.D.
• Stalzer Chiropractic Inc.

• Clinical Psychologist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.