Michael Udo D'Agostin, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY24187 Issued in CA

Practice address

18646 Oxnard St
Tarzana, CA 91356-1411

Phone

(818) 654-3845

Fax

(818) 345-6402

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mikedagostin-tarzanatc@lacsapc.netsmartdirect.net

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.

• Tarzana Treatment Centers, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1346842093
  Medicare reassignment NPD
• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD
• Tarzana Treatment Centers, Inc.

  • Psychiatric Hospital
  • Tarzana, CA
  • NPI 1396076147
  NPD
• Tarzana Treatment Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Palmdale, CA
  • NPI 1619702099
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1851424345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13244 CUMPSTON ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914016008",
            "telephone_number": "818-997-8039",
            "fax_number": "818-376-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561411",
            "telephone_number": "818-654-3845",
            "fax_number": "818-345-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTIN",
        "first_name": "MICHAEL",
        "middle_name": "UDO",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A3555189",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY24187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine M Cu
• Edmund Don Cunningham
• Friedel Barbara Cunningham, AU.D.
• Arielle Czerwinski, M.D.
• Alexander William Czubakowski, D.C.,
• Jordan Dabbagh
• Haig John Dadaian, DPT
• Theresa Daggi, NP-C
• Rina Talin Daghlian
• Katarina Dahlin, SLP

• Counseling Psychologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.

Verify at the official NPI Registry.