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MICHAEL MIYASATO
NPI 1942640081
Psychologist - Clinical in Redwood City, CA

Active since July 03, 2013PECOS Enrolled
617 VETERANS BLVD STE 204, REDWOOD CITY, CA 94063(510) 671-0637 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2023, Mar 17, 2018, Nov 1, 2017 and 1 more (4 updates tracked since 2016).

About Michael Miyasato NPPES

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

MICHAEL MIYASATO (NPI 1942640081) is an individual clinical provider in Redwood City, California, licensed in California (PSY29831) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942640081
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL MIYASATO
Location Address617 VETERANS BLVD STE 204Redwood City, CA 94063-1419
Mailing Address617 Veterans Blvd Ste 107Redwood City, CA 94063-1404
Phone(510) 671-0637
Sole ProprietorNo
Enumeration DateJuly 3, 2013
Last NPPES UpdateMay 18, 20234 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1942640081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY29831
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
617 VETERANS BLVD STE 204, Redwood City, CA 94063
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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 (PECOS)

Michael Miyasato is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94063 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.

Other Providers at the Same Location NPPES 6

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

SHAY SMITH MA, MSED
Psychologist (Psychoanalysis)
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063
San Mateo County (650) 619-0119
DR. KARI KILLIANEY PSY.D.
Psychologist (Clinical)
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063
San Mateo County (510) 798-5513
DR. LERYN MESSORI PSYD
Psychologist
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063
San Mateo County (415) 723-1193
COMPASS
Community/Behavioral Health
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063
San Mateo County (650) 766-0691
JENNIFER MASON PHD
Psychologist
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063
San Mateo County (650) 477-6165
DR. SCOTT ALAN GOODE PHD, PHD
Psychologist
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063
San Mateo County (650) 503-8179

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 Miyasato's NPI number?

The NPI number for Michael Miyasato is 1942640081. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Michael Miyasato located?

Michael Miyasato practices at 617 Veterans Blvd Ste 204, Redwood City, CA 94063. The listed phone number is (510) 671-0637.

What is Michael Miyasato's specialty?

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

Is Michael Miyasato enrolled in Medicare?

Yes. Michael Miyasato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Miyasato was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.