Active NPI
Karen I. Michaels
- Psychologist
- Soquel, CA
National Provider Identifier
1437434024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23546
- Legal business name
- KAREN I. MICHAELS
- Practice address
- 5905 Soquel Dr
Ste. 550
Soquel, CA 95073-2861 - Phone
- (831) 234-0314
- Fax
- (831) 685-0350
- NPI assigned
- Oct 15, 2011
- Last updated
- Oct 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Ingrid Michaels, PHD
- Title
- Licensed Clinical Psychologist
- Phone
- (831) 234-0314
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 23546 | CA | Primary |
| Adult Development & Aging Psychologist | 103TA0700X | 23546 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 23546 | CA | |
| Clinical Psychologist | 103TC0700X | 23546 | CA | |
| Counseling Psychologist | 103TC1900X | 23546 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 23546 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | 23546 | CA |
Addresses
Primary practice location
5905 Soquel Dr
Ste. 550
Soquel, CA 95073-2861
Mailing address
530 Vista del Mar Dr
Aptos, CA 95003-4816
Phone (831) 234-0314
National Provider Directory
National Provider DirectoryLocations
5905 Soquel Dr
Ste 550
Soquel, CA 95073
Phone (831) 204-8169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318636800000",
"number": "1437434024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 VISTA DEL MAR DR",
"city": "APTOS",
"state": "CA",
"postal_code": "950034816",
"telephone_number": "831-234-0314",
"fax_number": "831-685-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 SOQUEL DR",
"address_2": "STE. 550",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732861",
"telephone_number": "831-234-0314",
"fax_number": "831-685-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN I. MICHAELS",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A",
"authorized_official_last_name": "MICHAELS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "INGRID",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "831-234-0314",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "23546",
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "23546",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "23546",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23546",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "23546",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "23546",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "23546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.