DR. MICHAEL NAMEKATA PH.D.
NPI 1467179044
Psychologist - Clinical in Encino, CA

Q: What is Michael Namekata's NPI number?

The NPI number for Michael Namekata is 1467179044. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Q: What is Michael Namekata'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 Namekata was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 October 24, 2022PECOS EnrolledAccepts Medicare Assignment

6345 BALBOA BLVD, BLDG 1, STE 212, ENCINO, CA 91316(818) 254-8125 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Jun 5, 2023, May 22, 2023 and 1 more (4 updates tracked since 2022).

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About Dr. Michael Namekata Ph.d. NPPES

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

DR. MICHAEL NAMEKATA PH.D. (NPI 1467179044) is an individual clinical provider in Encino, California, licensed in California (PSY33698) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467179044

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL NAMEKATACredential: PH.D.

Location Address6345 BALBOA BLVD, BLDG 1, STE 212Encino, CA 91316-1517

Mailing AddressPo Box 570895Tarzana, CA 91357-0895 · (818) 254-8125

Phone(818) 254-8125

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 24, 2022

Last NPPES UpdateDecember 31, 20244 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1467179044 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 · PSY33698

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.

6345 BALBOA BLVD, Encino, CA 91316

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Secondary Practice Locations 2

Location 114724 Ventura Blvd Ste 1000Sherman Oaks, CA 91403-3510 · Phone (818) 254-8125

Location 216530 Ventura Blvd Ste 400Encino, CA 91436-4551 · Phone (818) 254-8125

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. Michael Namekata Ph.d. 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 ID4486161056

PECOS Enrollment IDI20250729001007

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 91316 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 18

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

BERNARD M KIRZNER MD INC

Psychiatry & Neurology (Psychiatry)

6345 BALBOA BLVD, SUITE 245
ENCINO, CA 91316

Los Angeles County (818) 881-4800

JEFFREY STEFFON LMFT

Marriage & Family Therapist

6345 BALBOA BLVD, SUITE 212
ENCINO, CA 91316

Los Angeles County (818) 776-9188

MRS. NADINE - BECKER M.A.

Marriage & Family Therapist

6345 BALBOA BLVD, SUITE 212
ENCINO, CA 91316

Los Angeles County (818) 343-8686

DR. TAMMY VAN FLEET PHD., BCBA-D, CBIS

Behavior Analyst

6345 BALBOA BLVD, SUITE 163
ENCINO, CA 91316

Los Angeles County (805) 506-3390

MR. JOHN FRANCIS DERENSKI M.A.

Marriage & Family Therapist

6345 BALBOA BLVD, #212
ENCINO, CA 91316

Los Angeles County (818) 349-5965

MS. NANCY M. TERREBONNE OTR/L

Occupational Therapist

6345 BALBOA BLVD, SUITE 120
ENCINO, CA 91316

Los Angeles County (818) 881-7600

MRS. DEBORAH KUNIN ROME M.S.

Speech-Language Pathologist

6345 BALBOA BLVD, BLDG 3, SUITE 250
ENCINO, CA 91316

Los Angeles County (818) 344-4975

GARY L ETTING OD AN OPTOMETRIC CORP

Optometrist

6345 BALBOA BLVD, BLDG 3 SUITE 250
ENCINO, CA 91316

Los Angeles County (818) 344-3937

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 Namekata's NPI number?

The NPI number for Michael Namekata is 1467179044. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Michael Namekata located?

Michael Namekata practices at 6345 Balboa Blvd Bldg 1, Ste 212, Encino, CA 91316. The listed phone number is (818) 254-8125.

What is Michael Namekata's specialty?

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

Is Michael Namekata enrolled in Medicare?

Yes. Michael Namekata 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 Michael Namekata was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.