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MICHAEL ICHINAGA PH.D.
NPI 1700035672
Psychologist - Clinical in San Jose, CA

Active since September 15, 2008
828 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5776 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Ichinaga Ph.d. NPPES

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

MICHAEL ICHINAGA PH.D. (NPI 1700035672) is an individual clinical provider in San Jose, California, licensed in California (PSY12062) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1700035672
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL ICHINAGACredential: PH.D.
Location Address828 S BASCOM AVESan Jose, CA 95128-2651
Mailing Address1901 Halford Ave Apt 185Santa Clara, CA 95051-7413 · (408) 261-2284
Phone(408) 885-5776
Sole ProprietorYes
Enumeration DateSeptember 15, 2008
✔ NPI 1700035672 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 · PSY12062
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.
828 S BASCOM AVE, San Jose, CA 95128
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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.

VISION UPRIGHT MRI, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
828 S BASCOM AVE, SUITE 110
SAN JOSE, CA 95128
Santa Clara County (408) 292-7970
MS. JOANNE F. DOBRZYNSKI MFT
Marriage & Family Therapist
828 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-7839
LAURA CORNO
Counselor (Mental Health)
828 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 393-0131
COUNTY OF SANTA CLARA
Clinic/Center (Adolescent and Children Mental Health)
828 S BASCOM AVE, SUITE 100 AND 120
SAN JOSE, CA 95128
Santa Clara County (408) 793-5959
KWOK HIN ALEX YUEN
Social Worker
828 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 793-5959
MELISSA LENON
Marriage & Family Therapist
828 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 793-5959
MELISSA PREADER LCSW
Social Worker (Clinical)
828 S BASCOM AVE, SUITE 200
SAN JOSE, CA 95128
Santa Clara County (408) 885-3259
MISS HOA TIEU VO MSW, LCSW
Social Worker (Clinical)
828 S BASCOM AVE, SUITE 100
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000

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 Ichinaga's NPI number?

The NPI number for Michael Ichinaga is 1700035672. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Michael Ichinaga located?

Michael Ichinaga practices at 828 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5776.

What is Michael Ichinaga's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Ichinaga was last updated on September 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.