Individual provider · Type 1 NPI

Michael Ichiyama, PhD

Clinical Psychologist · San Diego, CA

NPI number 1932856341 Active

Practice location

5998 Alcala Park
San Diego, CA 92110-8001

Call (858) 245-4936 Map

Mailing address

6615 Canyon Rim Row Unit 153
San Diego, CA 92111-7441

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY15294 (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 1932856341

Michael Ichiyama, PhD's National Provider Identifier is 1932856341, issued on Mar 5, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Mar 5, 2022.