Alexei D Michelson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A56309 Issued in CA

Practice address

24800 Chrisanta Dr
Suite #260
Mission Viejo, CA 92691-4833

Phone

(949) 462-9114

Fax

(949) 460-9114

NPI assigned

Jun 9, 2006

Sex

Male

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 Medicine

State licenses

Practice roles

Locations

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.

• Behavioral Assessment Center of South Orange County

  dba Alex Michelson

  • Psychiatry Physician
  • Mission Viejo, CA
  • NPI 1730067927
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255372389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 CHRISANTA DR",
            "address_2": "SUITE #260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914833",
            "telephone_number": "949-462-9114",
            "fax_number": "949-460-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 CHRISANTA DR",
            "address_2": "SUITE #260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914833",
            "telephone_number": "949-462-9114",
            "fax_number": "949-460-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "ALEXEI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A56309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Vasili Michel
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• Mikaeya Kalantari Dental Corporation
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• Milanes MD Medical Corp (Hydrodocs)

• Psychiatry Physician in Mission Viejo, CA
• Providers in Mission Viejo, 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.