Michelle Medeiros, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28941 Issued in CA

Practice address

2225 E Bayshore Rd Ste 200
Palo Alto, CA 94303-3220

Phone

(650) 830-8334

NPI assigned

Sep 6, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Michelle Graca Medeiros

  • Psychologist
  • Palo Alto, CA
  • NPI 1295390938
  NPD Authorized official

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1922555184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 BOWERS AVE STE 119",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510955",
            "telephone_number": "650-830-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E BAYSHORE RD STE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033220",
            "telephone_number": "650-830-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940252539",
            "country_code": "US",
            "telephone_number": "408-829-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "MICHELLE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005509",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Claire Meadows, MD
• Carol Ann Meaney, NP
• Peter Andrew Meaney, MD
• Robyn Lynne Medcalf, LCSW
• Jayden Medearis
• Medical Associates Laboratory
• Medical Plaza Pharmacy Inc
• Cynthia Medina, PH.D.
• Elida Medina, MS, CGC
• George Medina, MSW

• Clinical Psychologist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.