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

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.

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

LicenseStateTypeSpecialty
PSY6396CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enjoying the Present Marriage and Family Counseling Services Inc. Past
since Mar 12, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in La Canada, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.