Michelle Tan, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34661 Issued in CA

Practice address

6 Lower Ragsdale Drive
Monterey, CA 93940

Phone

(831) 642-6201

NPI assigned

Dec 2, 2020

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Behavioral Health Cooperative LLCGroup PAC ID 1355732777, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Behavioral Health Cooperative, LLC

  dba Primary Care Psychology Associates

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1497428817
  Medicare reassignment Care Compare group NPD
• Neuropathways Psychological Services

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1851250922
  NPD Authorized official
• Pcpa Legacy, LLC

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1093030132
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1457956989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWER RAGSDALE DRIVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOWER RAGSDALE DRIVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-642-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010424",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maki Takashima, N.D.
• James M Takehara, PT
• Evelyn (Eva) Denise Talley Giedt, PMH NP
• David Talvensaari
• Bradley Jay Tamler, M.D.
• Julie Deen Tanaka, P.T.
• Emily Tang
• Hannah Louise Tant
• Brigitta Tanzer, FNP-C
• Geraldine C Taplin, M.D

• Clinical Psychologist in Monterey, CA
• Providers in Monterey, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.