NPIMap

Individual provider Active NPI

Michelle Garcia

  • Cognitive & Behavioral Psychologist
  • Culver City, CA
National Provider Identifier
1619451754
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
132236 Issued in CA
Practice address
6000 Sepulveda Blvd Ste E10
Culver City, CA 90230-6421
Phone
(310) 301-7396
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X 132236 CA
Cognitive & Behavioral Psychologist 103TB0200X 132236 CA Primary
Clinical Psychologist 103TC0700X 132236 CA

Addresses

Primary practice location

6000 Sepulveda Blvd Ste E10
Culver City, CA 90230-6421

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

615 East Elm St.
Long Beach, CA 90802
Phone (562) 435-7350

Other practice location 2

351 E 6th St
Long Beach, CA 90802-1402
Phone (562) 435-7350

Other practice location 3

341 E 6th St
Long Beach, CA 90802-1402
Phone (562) 435-7350

Other names 1

  • Michelle Villa Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amanecer Community Counseling Service, a Non-Profit Corporation PastSince Sep 1, 2022 Accepting new patients
Behavioral Health Services, Inc. Past Accepting new patients
Union Ave Elementary School Past Accepting new patients
Behavioral Health Services, Inc. Past Accepting new patients
Behavioral Health Services, Inc. PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1619451754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SEPULVEDA BLVD STE E10",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306421",
            "telephone_number": "310-301-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 East Elm St.",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90802",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021402",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021402",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "132236",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "132236",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "132236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "VILLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.