Individual provider Active NPI

Yolande Michaels, PHD

  • Clinical Psychologist
  • Topanga, CA
National Provider Identifier
1780728659
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12377 Issued in CA
Practice address
1757 Arteique Road
Topanga, CA 90290-4246
Phone
(310) 455-7073
Fax
(310) 455-7073
NPI assigned
Feb 16, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY12377 CA Primary

Addresses

Primary practice location

1757 Arteique Road
Topanga, CA 90290-4246

Mailing address

1757 Arteique Road
Topanga, CA 90290-4246
Phone (310) 455-7073

Other identifiers 1

IdentifierTypeStateIssuer
PSY123770MedicaidCA

Other names 1

  • Barbara Jane Haug 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
I20080220000429 CA Practitioner - Clinical Psychologist 9739263419 Practice locations: Pasadena, CA; Sylmar, CA; Topanga, CA; Van Nuys, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY12377CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
LTG Holding, Inc. Past Accepting new patients

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1780728659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 ARTEIQUE ROAD",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902904246",
            "telephone_number": "310-455-7073",
            "fax_number": "310-455-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 ARTEIQUE ROAD",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902904246",
            "telephone_number": "310-455-7073",
            "fax_number": "310-455-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "YOLANDE",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY123770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "HAUG",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topanga, CA

Sources for this page

Verify at the official NPI Registry.