Justin Michener, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4504 Issued in CO

Practice address

7180 E Orchard Rd Ste 201
Centennial, CO 80111-1724

Phone

(914) 260-8151

NPI assigned

Aug 30, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1649586405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 NEWTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113138",
            "telephone_number": "914-260-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD STE 201",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "914-260-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Jones St St 204",
            "address_purpose": "LOCATION",
            "city": "Setauket",
            "state": "NY",
            "postal_code": "11733",
            "country_code": "US",
            "telephone_number": "631-632-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHENER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stiwich PT LLC
• Deborah J. Michael, D.D.S., M.S.
• Thomas Stanley Michalik, DMD
• Sarah Noella Michaud, LCSW
• Shannon Kathleen Michel
• Martha Cronin Middlemist, MD
• Cory L Miglizzi, CMT LMT
• David Jordan Milchiker
• Mile High Spine and Pain Clinic Inc.
• Milehigh Ride LLC

• Psychologist in Centennial, CO
• Providers in Centennial, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.