Active NPI
Andrew Michaels, PH.D.
- Clinical Psychologist
- Lafayette, CA
National Provider Identifier
1649423195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 8036
- Practice address
- 3184 Old Tunnel Rd Ste a
Lafayette, CA 94549-4153 - Phone
- (925) 360-9929
- Fax
- (925) 933-8871
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | PSY 8036 | CA | Primary |
Addresses
Primary practice location
3184 Old Tunnel Rd Ste a
Lafayette, CA 94549-4153
Mailing address
57 Saddle Rd
Walnut Creek, CA 94595-2743
Phone (925) 360-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 8036 | Other | CA | PSYCHOLOGIST LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 8036 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1649423195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SADDLE RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945952743",
"telephone_number": "925-360-9929",
"fax_number": "925-933-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 OLD TUNNEL RD STE A",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494153",
"telephone_number": "925-360-9929",
"fax_number": "925-933-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "ANDREW",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 8036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "PSY 8036",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.