Individual provider Active NPI

Michael Gass, PH.D.

  • Psychologist
  • Mission Viejo, CA
National Provider Identifier
1700902285
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
#PSY5201 Issued in CA
Practice address
27001 La Paz Rd
Suite 290
Mission Viejo, CA 92691-5502
Phone
(949) 462-0102
Fax
(949) 462-0124
NPI assigned
Mar 22, 2007
Last updated
Aug 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X #PSY5201 CA Primary

Addresses

Primary practice location

27001 La Paz Rd
Suite 290
Mission Viejo, CA 92691-5502

Mailing address

27001 La Paz Rd
Suite 290
Mission Viejo, CA 92691-5502
Phone (949) 462-0102

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
I20071029000423 CA Practitioner - Clinical Psychologist 6608963269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27001 La Paz Rd
Suite 300B2
Mission Viejo, CA 92691-5502
Phone (949) 462-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
#PSY5201CAMDPsychologist
5201CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Gass, PH.D., a Psychological Corporation Psychologist CurrentSince May 24, 2009 Accepting new patients

Locations

27001 La Paz Rd
Ste 290
Mission Viejo, CA 92691
Phone (949) 462-0102

27001 La Paz Rd
Ste 300B2
Mission Viejo, CA 92691
Phone (949) 462-0102

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1700902285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 290",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-462-0102",
            "fax_number": "949-462-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 290",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-462-0102",
            "fax_number": "949-462-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASS",
        "first_name": "MICHAEL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "#PSY5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.