Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Ichiyama, PHD

Individual provider Clinical Psychologist · NPI 1932856341

Dr. Michael Ichiyama, PHD is a Clinical Psychologist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5998 Alcala Park
San Diego, CA 92110-8001
Phone: (858) 245-4936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY15294 (CA)

Record details

NPI number1932856341
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 5, 2022
Last updated in NPPESMarch 5, 2022
Certification dateApril 17, 2021

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