Individual provider Active NPI

Michelle Kuranishi, PSY.D.

  • Clinical Psychologist
  • Santa Clara, CA
National Provider Identifier
1437526738
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30465 Issued in CA
Practice address
5201 Great America Parkway
Suite 320
Santa Clara, CA 95054
Phone
(818) 452-3161
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 30465 CA
Clinical Psychologist 103TC0700X 30465 CA Primary

Addresses

Primary practice location

5201 Great America Parkway
Suite 320
Santa Clara, CA 95054

Mailing address

17020 Chatsworth St # 1115
Granada Hills, CA 91344-5844
Phone (818) 452-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30465CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1437526738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 CHATSWORTH ST # 1115",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445844",
            "telephone_number": "818-452-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PARKWAY",
            "address_2": "SUITE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95054",
            "telephone_number": "818-452-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURANISHI",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "30465",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.