Active NPI
Michelle Lynette Vorwerk, PSY.D.
- Psychologist
- Irvine, CA
National Provider Identifier
1497936041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY21119
- Practice address
- 3943 Irvine Blvd
#321
Irvine, CA 92602-2400 - Phone
- (949) 892-9800
- Fax
- (714) 389-6692
- NPI assigned
- Nov 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY21119 | CA | Primary |
Addresses
Primary practice location
3943 Irvine Blvd
#321
Irvine, CA 92602-2400
Mailing address
3943 Irvine Blvd
#321
Irvine, CA 92602-2400
Phone (949) 892-9800
Other names 1
- Dr. Michelle Lynette White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY21119 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1497936041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3943 IRVINE BLVD",
"address_2": "#321",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022400",
"telephone_number": "949-892-9800",
"fax_number": "714-389-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3943 IRVINE BLVD",
"address_2": "#321",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022400",
"telephone_number": "949-892-9800",
"fax_number": "714-389-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORWERK",
"first_name": "MICHELLE",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-23",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "WHITE",
"middle_name": "LYNETTE",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.