MICHAEL BORMACOFF JR. PSYD
NPI 1053968552
Psychologist - Clinical in Atascadero, CA

Q: What is Michael Bormacoff's NPI number?

The NPI number for Michael Bormacoff is 1053968552. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Michael Bormacoff's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bormacoff was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 20, 2019

10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-2045 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Bormacoff Jr. Psyd NPPES

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

MICHAEL BORMACOFF JR. PSYD (NPI 1053968552) is an individual clinical provider in Atascadero, California, licensed in California (31169) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1053968552

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMICHAEL BORMACOFF JR.Credential: PSYD

Location Address10333 EL CAMINO REALAtascadero, CA 93422-5808

Mailing Address10333 El Camino RealAtascadero, CA 93422-5808 · (805) 468-2045

Phone(805) 468-2045

Sole ProprietorNo

Enumeration DateAugust 20, 2019

Last NPPES UpdateAugust 23, 2019

✔ NPI 1053968552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31169

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10333 EL CAMINO REAL, Atascadero, CA 93422

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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.

GIZELLA MARIA RAYMOND N.P., R.N.

Nurse Practitioner (Psychiatric/Mental Health)