Michelle Garcia, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PSY29008 Issued in CA

Practice address

715 N Central Ave Ste 108
Glendale, CA 91203-1225

Phone

(747) 217-2247

Fax

(213) 639-1361

NPI assigned

Jun 5, 2012

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1518228642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S VERMONT AVE STE 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE STE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031225",
            "telephone_number": "747-217-2247",
            "fax_number": "213-639-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2021-03-18",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY29008",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29008",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Garcia
• Katherine Garcia
• Kayla K Garcia
• Lilliana Garcia
• Matthew Garcia
• Serafin Montealto Garcia, M.D.
• Sonia E Garcia
• Maria Rita Chona Garde, PTA
• Garden Hospice, Inc.
• Lindsay Wood Gardner, D.C.

• Forensic Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.