Michael Steven Loose, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G84055 Issued in CA

Practice address

1032 Walnut St
Napa, CA 94559

Phone

(707) 256-3550

Fax

(707) 256-3553

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• North Bay Psychology

  • Clinical Psychologist
  • Napa, CA
  • NPI 1740556489
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1306864756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 WALNUT ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94559",
            "telephone_number": "707-256-3550",
            "fax_number": "707-256-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 WALNUT ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94559",
            "telephone_number": "707-256-3550",
            "fax_number": "707-256-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSE",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23819",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G84055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Long
• Longs Drug Stores California Inc (Longs Drug Store)
• Longs Drug Stores California LLC (CVS Pharmacy #01804)
• Longs Drug Stores California LLC (CVS Pharmacy #09214)
• Longs Drug Stores California, L.L.C. (CVS Pharmacy #07141)
• Jessica Lopez Anaya
• Guadalupe Lopez Hernandez
• Gabriela Lopez Iniguez
• Yecica Yessenia Lopez Romero, LVN
• Lucero Lopez Sampedro

• Psychiatry Physician in Napa, CA
• Providers in Napa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.