Michels Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

282 Issued in SC

Legal business name

MICHELS PSYCHOLOGICAL SERVICES

Practice address

9890 Windsor Lake Blvd
Columbia, SC 29223-2028

Phone

(803) 736-2199

Fax

(803) 796-2199

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Philip John Michels, PH.D.NPI 1477529980

Title

Clinical Psychologist

Phone

(803) 237-4239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip J Michels, PH.D.

  • Cognitive & Behavioral Psychologist
  • Columbia, SC
  • NPI 1477529980
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1821236951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 WINDSOR LAKE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-736-2199",
            "fax_number": "803-796-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 WINDSOR LAKE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-736-2199",
            "fax_number": "803-796-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MICHELS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "803-237-4239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaelas Angelic Caregivers LLC
• Shannon Louise Michaels Areford, PA-C
• Michal Rubin PH.D. LPC
• Lanorris Michel, MA
• Michelle Ingram-Smith
• Philip J Michels, PH.D.
• Jewel Mickens
• Latoya Denise Mickle, APRN
• Tykeyana Mickles, LPC
• Amelia Middlebrooks

• Clinical Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.