Individual provider Active NPI

Michelle McKay, LMFT

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1740540137
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111290 Issued in CA
Practice address
27412 Enterprise Cir W Ste 200&205
Temecula, CA 92590-4803
Phone
(951) 971-6262
Fax
(951) 462-4018
NPI assigned
May 21, 2012
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 111290 CA Primary

Addresses

Primary practice location

27412 Enterprise Cir W Ste 200&205
Temecula, CA 92590-4803

Mailing address

1604 S Santa Fe Ave
Suite 403
San Jacinto, CA 92583-5062
Phone (951) 654-2026

Other names 1

  • Michelle Brower Former name

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
I20241211001820 CA Practitioner - Marriage and Family Therapist 7416483680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27412 Enterprise Cir W
Suite 205
Temecula, CA 92590-4875
Phone (951) 972-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111290CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffani Taft Marriage Family Therapy Professional Corporation Marriage & Family Therapist CurrentSince Nov 26, 2024 Accepting new patients

Locations

27640 Encanto Dr
Ste B
Sun City, CA 92586
Phone (951) 672-7673

27412 Enterprise Cir W
Ste 205
Temecula, CA 92590
Phone (951) 387-8039

27412 Enterprise Cir W
Ste 200205
Temecula, CA 92590
Phone (951) 971-6262

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1740540137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 S SANTA FE AVE",
            "address_2": "SUITE 403",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835062",
            "telephone_number": "951-654-2026",
            "fax_number": "951-654-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE 200&205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904803",
            "telephone_number": "951-971-6262",
            "fax_number": "951-462-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BROWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.