MICHAEL DAHL
NPI 1053819656
Psychologist in Rochester, NY

Active since January 29, 2018PECOS Enrolled
1111 ELMWOOD AVE, ROCHESTER, NY 14620(585) 241-1691 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Dahl NPPES

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

MICHAEL DAHL (NPI 1053819656) is an individual psychologist in Rochester, New York, licensed in New York (007550-1) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053819656
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL DAHL
Location Address1111 ELMWOOD AVERochester, NY 14620-3005
Mailing Address1111 Elmwood AveRochester, NY 14620-3005 · (585) 241-1691
Sole ProprietorNo
Enumeration DateJanuary 29, 2018
NPI 1053819656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 007550-1
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1111 ELMWOOD AVE, Rochester, NY 14620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Dahl 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 20

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

Registered Nurse (Psychiatric/Mental Health)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Registered Nurse
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Registered Nurse (Psychiatric/Mental Health, Adult)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Assisted Living Facility (Assisted Living, Mental Illness)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Internal Medicine
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Social Worker (Clinical)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Registered Nurse
1111 ELMWOOD AVE
ROCHESTER, NY 14620
Registered Nurse
1111 ELMWOOD AVE
ROCHESTER, NY 14620

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 Michael Dahl's NPI number?

The NPI number for Michael Dahl is 1053819656. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Michael Dahl located?

Michael Dahl practices at 1111 Elmwood Ave, Rochester, NY 14620. The listed phone number is (585) 241-1691.

What is Michael Dahl's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Dahl enrolled in Medicare?

Yes. Michael Dahl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Dahl was last updated on January 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.