ELIZABETH S MICELI PSY.D.
NPI 1033667548
Psychologist - Clinical Child & Adolescent in Hershey, PA

Active since September 13, 2016PECOS Enrolled
905 W GOVERNOR RD STE 200, HERSHEY, PA 17033(717) 531-7235(717) 531-0067 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2019, Sep 13, 2016 (2 updates tracked since 2016).

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
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

Secondary Practice Locations 2

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455
Location 222 Northeast DrHershey, PA 17033-2732 · Phone (717) 531-8338

Other Identifiers 1

Other1285628552NY · Agencies

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Miceli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
500 UNIVERSITY DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics (Adolescent Medicine)
905 W GOVERNOR RD STE 200
HERSHEY, PA 17033
Counselor (Professional)
905 W GOVERNOR RD STE 200
HERSHEY, PA 17033
Pediatrics (Adolescent Medicine)
905 W GOVERNOR RD STE 200
HERSHEY, PA 17033
Counselor (Professional)
905 W GOVERNOR RD STE 200
HERSHEY, PA 17033
Psychologist (Clinical Child & Adolescent)
905 W GOVERNOR RD STE 200
HERSHEY, PA 17033
Pediatrics (Adolescent Medicine)
905 W GOVERNOR RD STE 200
HERSHEY, PA 17033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Miceli's NPI number?

The NPI number for Elizabeth Miceli is 1033667548. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Elizabeth Miceli located?

Elizabeth Miceli practices at 905 W Governor Rd Ste 200, Hershey, PA 17033. The listed phone number is (717) 531-7235.

What is Elizabeth Miceli's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Elizabeth Miceli enrolled in Medicare?

Yes. Elizabeth Miceli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Miceli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Miceli reassigns Medicare benefits to The Milton S Hershey Medical Center Physicians Group (Hershey, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Miceli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Miceli was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.