ELIZABETH S MICELI PSY.D. - NPI 1033667548 - Psychologist in Hershey, PA

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

On this page

About Elizabeth S Miceli Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH S MICELI PSY.D. (NPI 1033667548) is an individual clinical child & adolescent provider in Hershey, Pennsylvania, licensed in Pennsylvania (PS018864) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033667548

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameELIZABETH S MICELICredential: PSY.D.

Location Address905 W GOVERNOR RD STE 200Hershey, PA 17033-2310

Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455

Phone(717) 531-7235

Fax(717) 531-0067

Sole ProprietorNo

Enumeration DateSeptember 13, 2016

Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration

✔ NPI 1033667548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in PA · PS018864

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS018864 (PA)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X

905 W GOVERNOR RD STE 200, Hershey, PA 17033

Open in Google Maps ↗

Secondary Practice Locations 2

Location 122 Northeast DrHershey, PA 17033-2732 · Phone (717) 531-8338

Location 2500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

Other Identifiers 1

Other1285628552NY · Agencies

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth S Miceli Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERYL ANN RYAN MD

Pediatrics (Adolescent Medicine)