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

Individual provider Clinical Psychologist · NPI 1053968552

Michael Bormacoff Jr., PSYD is a Clinical Psychologist in Atascadero, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

10333 El Camino Real
Atascadero, CA 93422-5808
Phone: (805) 468-2045
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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 31169 (CA)

Record details

NPI number1053968552
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 23, 2019
Mailing address10333 El Camino Real, Atascadero, CA 93422-5808

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