Michael N Barnes, PHD
Individual provider Active NPI Clinical Psychologist · La Canada, CA
NPI 1881701035 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881701035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY6396 (CA)
- Practice address
- 1369 Foothill Blvd
La Canada, CA 91011-2121 - Phone
- (818) 952-8941
- Fax
- (818) 952-2313
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY6396 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enjoying the Present Marriage and Family Counseling Services Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY6396 | CA | Yes |
Addresses
Primary practice location
1369 Foothill Blvd
La Canada, CA 91011-2121
Mailing address
322 San Juan Way
La Canada, CA 91011-2754
Phone (818) 952-8941
Other providers in La Canada, CA
- Alfred A Bagryan
- Euisun Bahk
- Leonard R Baker
- Balance and Hearing Resource Centers Inc.
- Brett Ballesteros
- Cathie Bautista
- Elizabeth Coplin Bender
- Parambir Bhatti
- Susan Carol Billens-Ivory
- Marilyn Blackmun
All providers in La Canada, 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 Jul 8, 2007. 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.