Active NPI
Miya Michelle Sindle, SCHOOL PSYCHOLOGIST
- Psychologist
- Antelope, CA
National Provider Identifier
1679226682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8608 Fobes Dr
Antelope, CA 95843-5572 - Phone
- (916) 470-0595
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8608 Fobes Dr
Antelope, CA 95843-5572
Mailing address
PO Box 7553
Citrus Heights, CA 95621-7553
Phone (916) 470-1856
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1679226682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7553",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956217553",
"telephone_number": "916-470-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8608 FOBES DR",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958435572",
"telephone_number": "916-470-0595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINDLE",
"first_name": "MIYA",
"middle_name": "MICHELLE",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antelope, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.