Individual provider Active NPI

Michelle Joseph

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1669901948
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139326 Issued in CA
Practice address
4849 Ronson CT Ste 207
San Diego, CA 92111-1805
Phone
(844) 737-3638
Fax
(619) 403-9496
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 139326 CA Primary

Addresses

Primary practice location

4849 Ronson CT Ste 207
San Diego, CA 92111-1805

Mailing address

4849 Ronson CT Ste 207
San Diego, CA 92111-1805
Phone (844) 737-3638

Other practice location 1

43520 Division St
Lancaster, CA 93535-4089
Phone (661) 266-4783

Other practice location 2

542 Ocean Street Suite K
Santa Cruz, CA 95060
Phone (831) 459-0444

Other practice location 3

941 El Dorado Ave
Santa Cruz, CA 95062-2863
Phone (831) 459-0444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjoseph@pennylane.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003769 CA Practitioner - Marriage and Family Therapist 6002251550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Jul 1, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Feb 29, 2024 Accepting new patients
Semper Health Solutions Marriage & Family Therapist Current Accepting new patients
Encompass Community Services Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1669901948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 RONSON CT STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111805",
            "telephone_number": "844-737-3638",
            "fax_number": "619-403-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 RONSON CT STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111805",
            "telephone_number": "844-737-3638",
            "fax_number": "619-403-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43520 Division St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935354089",
            "country_code": "US",
            "telephone_number": "661-266-4783",
            "fax_number": "661-266-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "542 Ocean Street Suite K",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "95060",
            "country_code": "US",
            "telephone_number": "831-459-0444",
            "fax_number": "831-459-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "941 El Dorado Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622863",
            "country_code": "US",
            "telephone_number": "831-459-0444",
            "fax_number": "831-459-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjoseph@pennylane.org",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43520 Division St",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935354089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.