Individual provider Active NPI

Michael Brian Krapes, PSY.D.

  • Psychologist
  • Temecula, CA
National Provider Identifier
1215233028
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 25077 Issued in CA
Practice address
28581 Old Town Front St
# 106
Temecula, CA 92590-2724
Phone
(951) 255-0298
NPI assigned
Jan 27, 2011
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 25077 CA Primary

Addresses

Primary practice location

28581 Old Town Front St
# 106
Temecula, CA 92590-2724

Mailing address

14165 Rock PL
Riverside, CA 92503-7284
Phone (951) 255-0298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 25077CAMDPsychologist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1215233028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14165 ROCK PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037284",
            "telephone_number": "951-255-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28581 OLD TOWN FRONT ST",
            "address_2": "# 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902724",
            "telephone_number": "951-255-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAPES",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 25077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.