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

Michael Ichinaga, PHD

Individual provider Clinical Psychologist · NPI 1700035672

Michael Ichinaga, PHD is a Clinical Psychologist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

828 S Bascom Ave
San Jose, CA 95128-2651
Phone: (408) 885-5776
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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 PSY12062 (CA)

Record details

NPI number1700035672
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 15, 2008
Last updated in NPPESSeptember 15, 2008
Mailing address1901 Halford Ave Apt 185, Santa Clara, CA 95051-7413

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