Active NPI
Michelle Sloan
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1578060067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A165005
- Practice address
- 2820 Glendale Blvd
Los Angeles, CA 90039-2723 - Phone
- (323) 212-5174
- NPI assigned
- Apr 10, 2018
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A165005 | CA | Primary |
Addresses
Primary practice location
2820 Glendale Blvd
Los Angeles, CA 90039-2723
Mailing address
2820 Glendale Blvd
Los Angeles, CA 90039-2723
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 |
|---|---|---|---|
| A165005 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindly Health | Current | Accepting new patients |
Locations
2820 Glendale Blvd
Los Angeles, CA 90039
Phone (323) 212-5174
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1609562693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1578060067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 GLENDALE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 GLENDALE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392723",
"telephone_number": "323-212-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A165005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.