Active NPI
Christopher Michael, PH.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1386889467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22265
- Practice address
- 1 W California Blvd
Suite 321
Pasadena, CA 91105-3029 - Phone
- (626) 405-9292
- NPI assigned
- Dec 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22265 | CA | Primary |
| Forensic Psychologist | 103TF0200X | 22265 | CA |
Addresses
Primary practice location
1 W California Blvd
Suite 321
Pasadena, CA 91105-3029
Mailing address
1 W California Blvd
Suite 321
Pasadena, CA 91105-3029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22265 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1386889467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W CALIFORNIA BLVD",
"address_2": "SUITE 321",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W CALIFORNIA BLVD",
"address_2": "SUITE 321",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053029",
"telephone_number": "626-405-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "22265",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "22265",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- Michael J Ross Marriage & Family Therapy PC
- Michael Paul Miller, MD, Inc.
- Michael S Pharmacy Inc
- Michael S Schwartz,MD a Professional Corporation
- Michael S Schwartzmd a Professional Corp
- Marios C Michael, DC, CNS, DAAPM
- Michael'S Pharmacy
- Richard Leo Michalsen, PH.D.
- Lexi A Michaud
- Alondra Valencia Michel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.