MR. MICHAEL UDO D'AGOSTIN PSYD
NPI 1851424345
Psychologist - Counseling in Tarzana, CA

Q: What is Michael D'agostin's NPI number?

The NPI number for Michael D'agostin is 1851424345. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Michael D'agostin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Q: When was this NPI record last updated?

The NPPES record for Michael D'agostin was last updated on July 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment

18646 OXNARD ST, TARZANA, CA 91356(818) 654-3845(818) 345-6402 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Michael Udo D'agostin Psyd NPPES

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

MR. MICHAEL UDO D'AGOSTIN PSYD (NPI 1851424345) is an individual counseling provider in Tarzana, California, licensed in California (PSY24187) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1851424345

Entity TypeIndividualMale

Primary Taxonomy103TC1900X

Provider Legal NameMR. MICHAEL UDO D'AGOSTINCredential: PSYD

Location Address18646 OXNARD STTarzana, CA 91356-1411

Mailing Address13244 Cumpston StSherman Oaks, CA 91401-6008 · (818) 997-8039 · Fax (818) 376-1077

Phone(818) 654-3845

Fax(818) 345-6402

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 13, 2007

Last NPPES UpdateJuly 29, 2011

✔ NPI 1851424345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers

Taxonomy Code103TC1900X

License✔ Licensed in CA · PSY24187

Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License A3555189 (CA)

18646 OXNARD ST, Tarzana, CA 91356

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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

Mr. Michael Udo D'agostin Psyd 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 ID6901035146

PECOS Enrollment IDI20140210000710

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 20

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

ANN MARIE VAVRA PA-C

Physician Assistant (Medical)