Michelle Graca Medeiros

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MICHELLE GRACA MEDEIROS

Practice address

2225 E Bayshore Rd Ste 200
Palo Alto, CA 94303-3220

Phone

(650) 830-8334

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Michelle MedeirosNPI 1922555184

Title

Clinical Psychologist

Phone

(650) 830-8334

Specialties & licenses 1

Addresses

Other names 1

• Michelle Medeiros, Ph.D. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Medeiros, PH.D.

  • Clinical Psychologist
  • Palo Alto, CA
  • NPI 1922555184
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1295390938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 BOWERS AVE STE 119",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510955",
            "telephone_number": "650-830-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E BAYSHORE RD STE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033220",
            "telephone_number": "650-830-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE GRACA MEDEIROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "650-830-8334"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Medeiros, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michelle Medeiros, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Marie Mical, DNP
• Michael D Le Optometric Corporation
• Michael S Reardon,MD.Inc.
• Brittni Mae Micham, M.D.
• Michelle a Demarta DMD Inc
• Michelle Haghpanah D.D.S., M.P.H., P.C.
• Gabriele Jessica Mickevicius, PT
• Mid Peninsula Speech and Language Clinic
• Mid-Peninsula Eating Disorder Clinic, a Marriage and Family Therapy Co
• Midpen Resident Services

• Psychologist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.