Michelle Busch Potter, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53621 Issued in CA

Practice address

205 E 3Rd Ave
Suite 307C
San Mateo, CA 94401-4051

Phone

(650) 445-1540

NPI assigned

Jan 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle B. Potter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1609266402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE",
            "address_2": "SUITE 307C",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014051",
            "telephone_number": "650-445-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE",
            "address_2": "SUITE 307C",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014051",
            "telephone_number": "650-445-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MICHELLE",
        "middle_name": "BUSCH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "POTTER",
            "middle_name": "B.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holly Portis
• Marina Post, MD
• Deborah Postal, D.D.S.
• Manasa Potharaju
• Christian Potter, PPS
• Tiffani Ledel Poulsen, PSYD
• Angela Powell-Bulutoglu, LMFT
• Diana Crooks Powers, D.D.S.
• Thomas Jefferson Powers VI, DDS
• Milly Poz

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.