Individual provider Active NPI

Michele Annette Mick, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1326144270
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31434 Issued in TX
Practice address
8231 Fredericksburg Rd
San Antonio, TX 78229-3356
Phone
(210) 504-4514
NPI assigned
Sep 16, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31434 TX Primary

Addresses

Primary practice location

8231 Fredericksburg Rd
San Antonio, TX 78229-3356

Mailing address

538 Donaldson Ave
San Antonio, TX 78201-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910004623 TX Practitioner - Clinical Psychologist 4587167135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

825 Watters Creek Blvd
Suite 250
Allen, TX 75013-3770
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Jun 28, 2025 Accepting new patients
Total Life FL PA Clinical CurrentSince Sep 1, 2025 Accepting new patients
Michele Mick, PHD, Psychological Services, PLLC Clinical CurrentSince May 11, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673

8231 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 216-5818

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1326144270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 DONALDSON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293356",
            "telephone_number": "210-504-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "MICHELE",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.