Michele Wilkens PSYD a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25549 Issued in CA

Legal business name

MICHELE WILKENS PSYD A PSYCHOLOGICAL CORPORATION

Practice address

65 N Madison Ave Ste 601
Pasadena, CA 91101-2047

Phone

(323) 375-8175

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michele WilkensNPI 1942324314

Title

Clinical Psychologist

Phone

(323) 375-8175

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Wilkens, PSY.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1942324314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1679941983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 601",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012047",
            "telephone_number": "323-375-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 601",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012047",
            "telephone_number": "323-375-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE WILKENS PSYD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-375-8175",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25549",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael'S Pharmacy
• Richard Leo Michalsen, PH.D.
• Lexi A Michaud
• Alondra Valencia Michel
• Tamara Michel
• Michelle Cantrell Licensed Professional Clinical Counseling Inc
• Michelle K. Kim D.D.S. Corp.
• Kesica Latroy Middleton
• Mideo Health of California Inc
• Bethany Miertschin

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.