Individual provider Active NPI

Michael Gene Ondrusek, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1972659761
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8461 Issued in CA
Practice address
3252 Holiday CT Ste 107
La Jolla, CA 92037-1807
Phone
(858) 449-8788
Fax
(858) 273-5657
NPI assigned
Jan 26, 2007
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8461 CA Primary

Addresses

Primary practice location

3252 Holiday CT Ste 107
La Jolla, CA 92037-1807

Mailing address

2329 Loring St
San Diego, CA 92109-2346
Phone (858) 449-8788

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
I20040319001643 CA Practitioner - Clinical Psychologist 6507757614 Practice locations: La Jolla, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3262 Holiday CT
Suite 210
La Jolla, CA 92037-1811
Phone (858) 455-8323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Belzer & Grunhaus-Belzer Psychological Corporation Clinical Past Accepting new patients

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, 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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1972659761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 LORING ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092346",
            "telephone_number": "858-449-8788",
            "fax_number": "858-273-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 107",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371807",
            "telephone_number": "858-449-8788",
            "fax_number": "858-273-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDRUSEK",
        "first_name": "MICHAEL",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.