Individual provider Active NPI

Michele Alayne Okonski, PSY.D.

  • Psychologist
  • Aliso Viejo, CA
National Provider Identifier
1982171716
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
16250 Issued in CA
Practice address
92 Argonaut
Aliso Viejo, CA 92656-4116
Phone
(949) 682-3949
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 16250 CA Primary

Addresses

Primary practice location

92 Argonaut
Aliso Viejo, CA 92656-4116

Mailing address

55 Ledgewood Dr
Rancho Santa Margarita, CA 92688-5543
Phone (805) 358-1711

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
I20190411001783 CA Practitioner - Clinical Psychologist 9638410095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16250CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Kinback Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1982171716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LEDGEWOOD DR",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885543",
            "telephone_number": "805-358-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ARGONAUT",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564116",
            "telephone_number": "949-682-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONSKI",
        "first_name": "MICHELE",
        "middle_name": "ALAYNE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "16250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.