Active NPI
Michelle Joseph
- Marriage & Family Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139326
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current | Accepting new patients |
| Grow Healthcare Group PC | Mental Health | Current | 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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Marriage & Family Therapist
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- Marriage & Family Therapist
- Victorville, CA
- NPI 1548030232
-
- Mental Illness Community Based Residential Treatment Facility
- Santa Cruz, CA
- NPI 1447474853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.