Michelle Renee Palmer, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27521 Issued in CA

Practice address

1000 Quail St Ste 185
Newport Beach, CA 92660

Phone

(951) 310-1161

NPI assigned

Sep 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Michelle Renee Grover Former name

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Psychological Services, Inc.Group PAC ID 2769747179, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.29 of 100Reported as group

Quality

90

Improvement activities

40

Cost

74.31

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Coastal Psychological Services, Inc.

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1588161384
  Medicare reassignment Care Compare group
• Stuckey Psychological Services, PC

  • Clinical Psychologist
  • Sun Lakes, AZ
  • NPI 1437580024
  NPD

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1639365018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 MELODY DR APT D",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945215317",
            "telephone_number": "562-270-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 185",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "951-310-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Loveridge Rd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945655117",
            "country_code": "US",
            "telephone_number": "925-431-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GROVER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thao Palacio
• Samantha Rose Palacios
• Alissa Palanjian, FNP-BC
• Favian Alberto Palma
• Jack Allen Palmer, M.D.
• Tyquasha Palmer
• Julie L Palmisano, MD
• Melanie Lealani Palomec
• Cienna Alysse Palos
• Christine Palumbo I, AMFT

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.