Michelle K Conover, PH. D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY 21871 Issued in CA

Practice address

5950 Canoga Ave Ste 100
Woodland Hills, CA 91367-5052

Phone

(818) 340-7700

Fax

(818) 340-7701

NPI assigned

Sep 9, 2008

Last updated

May 9, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Michelle Conover PHD a Psychological Corporation

  dba Southern California Neuropsychology Group

  • Clinical Neuropsychologist
  • Woodland Hills, CA
  • NPI 1740558253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1619126125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 CANOGA AVE STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675052",
            "telephone_number": "818-340-7700",
            "fax_number": "818-340-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 CANOGA AVE STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675052",
            "telephone_number": "818-340-7700",
            "fax_number": "818-340-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Canoga Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "91367",
            "country_code": "US",
            "telephone_number": "818-340-7700",
            "fax_number": "818-340-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 21871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Conley
• Garie E Connell, MSW
• Henry James Connor
• Conquer Treatment Centers, Inc.
• Jaqueline Constantino
• Mayra Alejandra Contreras
• Britney Cook
• Ndaisha Cook

• Clinical Neuropsychologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.