Michelle Indianer, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A4621 Issued in CA

Practice address

250 Blossom Hill Rd
Suite 101
Los Gatos, CA 95032-4420

Phone

(408) 395-4117

Fax

(408) 395-1441

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Segal Indianer Psychiatric Group

  • Psychiatry Physician
  • Los Gatos, CA
  • NPI 1306920145
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194885871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM HILL RD",
            "address_2": "SUITE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324420",
            "telephone_number": "408-395-4117",
            "fax_number": "408-395-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM HILL RD",
            "address_2": "SUITE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324420",
            "telephone_number": "408-395-4117",
            "fax_number": "408-395-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDIANER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A4621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon M Ihlefeld, D.C.
• Mary L Imig, MD
• Leanna Immel
• Impakt Medical, LLC
• In Health Clinic, Ly Ho Chiropractic Corporation
• Paul D. Indman, M.D.
• Infused Therapies II
• Inside Out Psychology Inc
• Insight Health Corp
• Shirley Mesias Interiano

• Psychiatry Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.