Michelle Adams
Individual provider Active NPI Clinical Psychologist · Culver City, CA
NPI 1740677335 · NPPES record last updated Apr 6, 2020
Key facts
- NPI
- 1740677335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY31261 (CA)
- Practice address
- 10866 Washington Blvd #718
Culver City, CA 90232 - Phone
- (831) 601-4768
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31261 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31261 | CA | Yes |
Addresses
Primary practice location
10866 Washington Blvd #718
Culver City, CA 90232
Mailing address
10866 Washington Blvd #718
Culver City, CA 90232
Phone (831) 601-4768
Other providers in Culver City, CA
- Aculous Solutions LLC
- Ada del Rivero-Yamuy Medical Corp
- Samantha Adair
- Hansa Adams-Prasad
- Michael K. Adams
- Taylor Mone Adams
- Rukayat Oluwatoyin Adamson
- Araksi Adamyan
- Terrie Addison
- Adetokunboh Adegbite
All providers in Culver City, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.