Active NPI
Molly Michaels
- Psychologist
- Menlo Park, CA
National Provider Identifier
1538043641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 94029065
- Practice address
- 700 El Camino Real Ste 120
Menlo Park, CA 94025-4884 - Phone
- (650) 204-1246
- NPI assigned
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 94029065 | CA | Primary |
Addresses
Primary practice location
700 El Camino Real Ste 120
Menlo Park, CA 94025-4884
Mailing address
3960 Long Hollow Rd
Roanoke, TX 76262-3830
Phone (906) 286-0088
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 |
|---|---|---|---|
| 94029065 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1538043641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 LONG HOLLOW RD",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762623830",
"telephone_number": "906-286-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EL CAMINO REAL STE 120",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254884",
"telephone_number": "650-204-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "94029065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.