Active NPI
Michelle Lynn Dean, PSY.D.
- Clinical Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31875
- Practice address
- 3760 Sports Arena Blvd Ste 9
San Diego, CA 92110-5134 - Phone
- (858) 848-0616
- Fax
- (858) 614-7088
- NPI assigned
- Aug 27, 2012
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31875 | CA | Primary |
Addresses
Primary practice location
3760 Sports Arena Blvd Ste 9
San Diego, CA 92110-5134
Mailing address
PO Box 342
Poway, CA 92074-0342
Other practice location 1
10700 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-6588
Phone (866) 230-8275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HBFF | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1902 Wright PL
FL 2
Carlsbad, CA 92008-6583
Phone (888) 515-3834
3760 Sports Arena Blvd
Suite 9
San Diego, CA 92110-5134
Phone (858) 333-2336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31875 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memory Check Psychological Services, a Professional Corporation | Clinical | Current | Accepting new patients |
Locations
1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465
5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664
348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496
7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
-
- Clinical Psychologist
- San Diego, CA
- NPI 1710763214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1629326566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 342",
"city": "POWAY",
"state": "CA",
"postal_code": "920740342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 SPORTS ARENA BLVD STE 9",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105134",
"telephone_number": "858-848-0616",
"fax_number": "858-614-7088"
}
],
"practiceLocations": [
{
"address_1": "10700 Santa Monica Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900256588",
"country_code": "US",
"telephone_number": "866-230-8275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31875",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HBFF",
"affiliation": "N",
"endpointDescription": "HBFF",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10700 Santa Monica Blvd Ste 310",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900256588",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.