DR. MICHIYO AMBROSIUS PHD
NPI 1275681769
Psychologist - Clinical in Danville, CA

Q: What is Michiyo Ambrosius's NPI number?

The NPI number for Michiyo Ambrosius is 1275681769. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Michiyo Ambrosius'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 Michiyo Ambrosius was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 08, 2007PECOS EnrolledAccepts Medicare Assignment

2491 TASSAJARA LN, DANVILLE, CA 94526(925) 389-8233(925) 736-2007 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michiyo Ambrosius Phd NPPES

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

DR. MICHIYO AMBROSIUS PHD (NPI 1275681769) is an individual clinical provider in Danville, California, licensed in California (PSY19516) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1275681769

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHIYO AMBROSIUSCredential: PHD

Location Address2491 TASSAJARA LNDanville, CA 94526-4411

Mailing Address2491 Tassajara LnDanville, CA 94526-4411 · (525) 736-2007 · Fax (925) 736-2007

Phone(925) 389-8233

Fax(925) 736-2007

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275681769 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 · PSY19516

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.

2491 TASSAJARA LN, Danville, CA 94526

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michiyo Ambrosius Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739167461

PECOS Enrollment IDI20040709000788

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michiyo Ambrosius's NPI number?

The NPI number for Michiyo Ambrosius is 1275681769. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Michiyo Ambrosius located?

Michiyo Ambrosius practices at 2491 Tassajara Ln, Danville, CA 94526. The listed phone number is (925) 389-8233.

What is Michiyo Ambrosius's specialty?

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

Is Michiyo Ambrosius enrolled in Medicare?

Yes. Michiyo Ambrosius is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michiyo Ambrosius was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.