Mike Y Guinasso

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

320 10TH St Ste 200
Santa Rosa, CA 95401-5291

Phone

(707) 579-0465

NPI assigned

Jun 21, 2022

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)

Not enrolled

Practice roles

Locations

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.

• Lomi School Foundation

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1437171543
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1689305534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BAY WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012475",
            "telephone_number": "415-342-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 10TH ST STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015291",
            "telephone_number": "707-579-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINASSO",
        "first_name": "MIKE",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uriah Dohn Guilford, MFT
• Marjorie Anne Guillermo
• Emily Rose Guillory
• Michelle Guillory
• Victoria Maria Guillory, RDH
• Lawrence Stephen Guinney, MD
• Leah Gulley
• Victoria Gulley
• Laurence Gunn
• Margaret M. Guo, MD

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.