Individual provider Active NPI

Michael James Majeski, PSY.D.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1932132735
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY20174 Issued in CA
Practice address
3707 3Rd Ave
San Diego, CA 92103-4111
Phone
(619) 322-6976
Fax
(619) 718-6447
NPI assigned
Jul 8, 2006
Last updated
Feb 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY20174 CA Primary

Addresses

Primary practice location

3707 3Rd Ave
San Diego, CA 92103-4111

Mailing address

3707 Third Avenue
San Diego, CA 92103
Phone (619) 322-6976

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120524000576 CA Practitioner - Clinical Psychologist 7517120736 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4080 Centre St
Suite 207
San Diego, CA 92103-2658
Phone (619) 322-6976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY20174CAMDPsychologist
20174CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Surf City Solutions LLC Past Accepting new patients
Compassionate Behavioral Health Services Psychologist PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1932132735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 THIRD AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-322-6976",
            "fax_number": "619-445-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034111",
            "telephone_number": "619-322-6976",
            "fax_number": "619-718-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJESKI",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.