Michael Namekata, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY33698 Issued in CA

Practice address

6345 Balboa Blvd
BLDG 1, Ste 212
Encino, CA 91316-1517

Phone

(818) 254-8125

NPI assigned

Oct 24, 2022

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Mpower, Inc

  • Group Psychotherapy Psychologist
  • Encino, CA
  • NPI 1700661899
  NPD
• Dr. Staci Wold Psychological Services Corporation

  • Clinical Psychologist
  • Encino, CA
  • NPI 1093643439
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1467179044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570895",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913570895",
            "telephone_number": "818-254-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "address_2": "BLDG 1, STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161517",
            "telephone_number": "818-254-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14724 Ventura Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033510",
            "country_code": "US",
            "telephone_number": "818-254-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16530 Ventura Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364551",
            "country_code": "US",
            "telephone_number": "818-254-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMEKATA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ania Nalbandian
• Elisa CJ Nam
• Ali R Namazie, MD
• Giselle Cabello Namazie, MD
• M. Sadegh Namazikhah, DMD, MSED
• Nancy Zimble MD Howard Reinstein MD a Medical Corp
• Narges Menalagha, D.D.S., a Professional Dental Corporation
• Narinas Hospice Services
• Steven James Narvy, M.D.
• Nasrin Hadizadeh Chiropractic Apc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.