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MICHAEL JOHN MICHAELIDES JR.
NPI 1003163270
Licensed Psychiatric Technician in Los Angeles, CA

Active since August 07, 2012
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005(213) 639-2500 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Mar 7, 2018 (2 updates tracked since 2018).

About Michael John Michaelides Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN MICHAELIDES JR. (NPI 1003163270) is an individual licensed psychiatric technician in Los Angeles, California, licensed in California (LPT42462) and active in the NPI registry since August 2012. He maintains a secondary practice location in Azusa.

NPPES Registry Identity

NPI1003163270
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameMICHAEL JOHN MICHAELIDES JR.
Location Address679 S NEW HAMPSHIRE AVE STE 400Los Angeles, CA 90005-1355
Mailing Address679 S New Hampshire Ave Ste 400Los Angeles, CA 90005-1355 · (213) 639-2500
Phone(213) 639-2500
Sole ProprietorYes
Enumeration DateAugust 7, 2012
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1003163270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · LPT42462
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
679 S NEW HAMPSHIRE AVE STE 400, Los Angeles, CA 90005
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Secondary Practice Location 1

Location 1830 S Azusa Ave Trlr 36Azusa, CA 91702-5582 · Phone (626) 506-6443

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIA DE LA RIVA
Day Training/Habilitation Specialist
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-0203
TAI LOGAN LEGAGNOUX AMFT
Marriage & Family Therapist
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500
MRS. GRISELDA VALLES-DE LA CRUZ B.S.
Peer Specialist
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500
MAX YAO
Social Worker
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500
ANDY CARCAMO
Case Manager/Care Coordinator
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-0299
GIRUM HAIMANOT TIMKETE I
Case Manager/Care Coordinator
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500
AMBER COLEMAN
Counselor (Professional)
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (213) 639-0284
KIM LE ASW
Social Worker
679 S NEW HAMPSHIRE AVE STE 400
LOS ANGELES, CA 90005
Los Angeles County (626) 701-7562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Michaelides's NPI number?

The NPI number for Michael Michaelides is 1003163270. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Michael Michaelides located?

Michael Michaelides practices at 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005. The listed phone number is (213) 639-2500.

What is Michael Michaelides's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Michael Michaelides was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.