Active NPI
Michelle A Witkin, PH.D.
- Clinical Psychologist
- Valencia, CA
National Provider Identifier
1366600611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14855
- Practice address
- 28494 Westinghouse PL
Suite 203
Valencia, CA 91355-0930 - Phone
- (661) 753-3987
- NPI assigned
- May 22, 2008
- Last updated
- Jan 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14855 | CA | Primary |
Addresses
Primary practice location
28494 Westinghouse PL
Suite 203
Valencia, CA 91355-0930
Mailing address
28494 Westinghouse PL
Suite 203
Valencia, CA 91355-0930
Phone (661) 753-3987
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
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14855 | CA | MD | Clinical Psychologist |
| 14855 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1366600611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28494 WESTINGHOUSE PL",
"address_2": "SUITE 203",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550930",
"telephone_number": "661-753-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28494 WESTINGHOUSE PL",
"address_2": "SUITE 203",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550930",
"telephone_number": "661-753-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKIN",
"first_name": "MICHELLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.