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

Michael Miyasato

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942640081

Michael Miyasato is a Student in an Organized Health Care Education/Training Program in Redwood City, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

617 Veterans Blvd Ste 204
Redwood City, CA 94063-1419
Phone: (510) 671-0637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 16th St, Oakland, CA 94612-1520 — (510) 357-5515

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY29831 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942640081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2013
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

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