Michelle Detsch, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1104 Camino del Mar Ste 107
Del Mar, CA 92014-2654

Phone

(877) 880-7337

Fax

(858) 923-1121

NPI assigned

Sep 14, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Diego Family Services

  • Clinical Psychologist
  • Del Mar, CA
  • NPI 1720101082
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1508199233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR STE 107",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142654",
            "telephone_number": "877-880-7337",
            "fax_number": "858-923-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR STE 107",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142654",
            "telephone_number": "877-880-7337",
            "fax_number": "858-923-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETSCH",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Mar Village Physical Therapy Inc.
• Christian Jacob Del Rosario, ND
• Lanny M Deremer, PHARMD BCGP
• Dermatology & Laser of del Mar
• Dermatology and Laser of del Mar
• Jacquelyn Khanh-Phuong DO, D.D.S.
• Tiffany Kim DO, PHARMD
• Emily Ann Dodge, OTR/L
• Julie Doerre
• Dominguez Schalch Lepe Kaback Guarneri Medical Associates PC

• Psychologist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Psychologist in California

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

Verify at the official NPI Registry.