Individual provider · Type 1 NPI

Michael Ichinaga, PhD

Clinical Psychologist · San Jose, CA

NPI number 1700035672 Active

Practice location

828 S Bascom Ave
San Jose, CA 95128-2651

Call (408) 885-5776 Map

Mailing address

1901 Halford Ave Apt 185
Santa Clara, CA 95051-7413

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY12062 (CA)

Clinical Psychologist: 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 discip…

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About NPI 1700035672

Michael Ichinaga, PhD's National Provider Identifier is 1700035672, issued on Sep 15, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Jose, CA. The record was last updated on Sep 15, 2008.