Active NPI
Micah Linton, PSY.D.
- Clinical Psychologist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30784
- Practice address
- 1301 20TH St Ste 540
Santa Monica, CA 90404-2118 - Phone
- (310) 582-7612
- Fax
- (424) 277-6342
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30784 | CA | Primary |
Addresses
Primary practice location
1301 20TH St Ste 540
Santa Monica, CA 90404-2118
Mailing address
635 Crestmoore PL
Venice, CA 90291-4814
Phone (310) 621-8203
Other practice location 1
11825 Major St Ste 106
Culver City, CA 90230-6356
Phone (323) 271-1600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 20TH St
Suite 150
Santa Monica, CA 90404-2050
Phone (310) 582-7641
2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 96.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30784 | CA | MD | Clinical Psychologist |
| 30784 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Best Me Psychotherapy, Inc. | Clinical | Current | Accepting new patients |
Locations
11825 Major St
Ste 106
Culver City, CA 90230
Phone (323) 271-1600
11825 Major St
Ste 207
Culver City, CA 90230
Phone (323) 271-1600
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1301 20th St
Ste 540
Santa Monica, CA 90404
Phone (310) 582-7612
Organizations & group practices 2
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.
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Clinical Psychologist
- Culver City, CA
- NPI 1720403512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1760942379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 CRESTMOORE PL",
"city": "VENICE",
"state": "CA",
"postal_code": "902914814",
"telephone_number": "310-621-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 20TH ST STE 540",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042118",
"telephone_number": "310-582-7612",
"fax_number": "424-277-6342"
}
],
"practiceLocations": [
{
"address_1": "11825 Major St Ste 106",
"address_purpose": "LOCATION",
"city": "Culver City",
"state": "CA",
"postal_code": "902306356",
"country_code": "US",
"telephone_number": "323-271-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINTON",
"first_name": "MICAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.