DR. MICHELLE CHRISTINE SPOELSTRA (NPI# 1861685224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861685224 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE CHRISTINE SPOELSTRA |
| Other Name | DR. MICHELLE CHRISTINE BEBB |
| Credential | PSY.D. |
| Practice Address |
319 Los Gatos Saratoga Rd Los Gatos CA 95030-5310 |
| Practice Telephone | 4086756008 |
| Mailing Telephone | 4086756008 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
25020 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 25020 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Stockton Ave, San Jose, CA 951262431 | 4086840958 |
| Street Address |
319 LOS GATOS SARATOGA RD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101598 | Erica Simon | Psychologist | 319 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5310 | 2019-12-20 |
| 1477082907 | Diana Golman | Psychologist | 319 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5310 | 2017-06-08 |
| 1497093413 | Elizabeth M Case | Counselor | 319 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5310 | 2013-01-25 |
| 1871828228 | Julie Williams | Marriage & Family Therapist | 319 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5310 | 2009-10-02 |
| 1104094549 | Snezana Bandic | Marriage & Family Therapist | 319 Los Gatos Saratoga Rd, Los Gatos, CA 95030 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770960403 | Robert Levit | Psychologist | 20 S Santa Cruz Ave Ste 315, 1, Los Gatos, CA 95030-6834 | 2015-05-01 |
| 1972937415 | Walter Edward Jessen | Psychologist | 436 San Benito Ave, Los Gatos, CA 95030-5305 | 2013-09-01 |
| 1023441607 | With Therapy Associates | Psychologist | 15951 Los Gatos Blvd Ste 14, Los Gatos, CA 95032-3488 | 2013-08-19 |
| 1164866497 | John Pina | Psychologist | 401 Alberto Way Ste D, Los Gatos, CA 95032-5404 | 2013-04-17 |
| 1235463969 | Alicia Lynn Danforth | Psychologist | 16575 Los Gatos Almaden Rd Ste B, Los Gatos, CA 95032-3582 | 2009-09-29 |
| 1003048968 | Matthew Metzger | Psychologist | 409 Alberto Way Ste 5, Los Gatos, CA 95032-5407 | 2009-08-11 |
| 1891920807 | Carrie M Talesfore | Psychologist | 700 W Parr Ave Ste K, Los Gatos, CA 95032-1444 | 2009-05-19 |
| 1710137617 | Paula Mychack | Psychologist | 16354 E La Chiquita Ave, Los Gatos, CA 95032-4608 | 2008-09-26 |
| 1821246885 | Barbara Rae Menoff | Psychologist | 211 Bean Ave, Los Gatos, CA 95030-5907 | 2008-09-03 |
| 1417121476 | Richard Brian Mahan | Psychologist | 110 N Santa Cruz Ave, Suite B, Los Gatos, CA 95030-5919 | 2008-04-21 |
| Find all providers in LOS GATOS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.