DR. MICHAEL R. PINKSTON PHD.
NPI 1750474086
Psychologist in Santa Rosa, CA

Active since September 30, 2006PECOS EnrolledAccepts Medicare Assignment
862 3RD ST, SANTA ROSA, CA 95404(707) 575-7230(707) 575-1513 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael R. Pinkston Phd. NPPES

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

DR. MICHAEL R. PINKSTON PHD. (NPI 1750474086) is an individual psychologist in Santa Rosa, California, licensed in California (PSY4719) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1750474086
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL R. PINKSTONCredential: PHD.
Location Address862 3RD STSanta Rosa, CA 95404-4529
Mailing Address862 3rd StSanta Rosa, CA 95404-4529 · (707) 575-7230 · Fax (707) 575-1513
Fax(707) 575-1513
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750474086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY4719
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

862 3RD ST, Santa Rosa, CA 95404

Other Identifiers 2

MedicaidPF0047190CA
Medicare ID-Type Unspecified00PL47190CA

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 R. Pinkston 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 ID6800063520
PECOS Enrollment IDI20120120000802
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.

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
862 3RD ST
SANTA ROSA, CA 95404
Marriage & Family Therapist
862 3RD ST
SANTA ROSA, CA 95404
Psychologist
862 3RD ST
SANTA ROSA, CA 95404
Marriage & Family Therapist
862 3RD ST
SANTA ROSA, CA 95404
Marriage & Family Therapist
862 3RD ST
SANTA ROSA, CA 95404

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 Pinkston's NPI number?

The NPI number for Michael Pinkston is 1750474086. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Michael Pinkston located?

Michael Pinkston practices at 862 3rd St, Santa Rosa, CA 95404. The listed phone number is (707) 575-7230.

What is Michael Pinkston's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Pinkston enrolled in Medicare?

Yes. Michael Pinkston 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 Pinkston was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.