MICHELLE R GRYCZKOWSKI PHD
NPI 1073813804
Psychologist - Clinical in Bethesda, MD

Active since October 27, 2010Opted out of Medicare · through Oct 1, 2026
7910 WOODMONT AVE STE 1101, BETHESDA, MD 20814(301) 304-6116 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2024, Mar 9, 2022, Nov 10, 2015 (3 updates tracked since 2015).

About Michelle R Gryczkowski Phd NPPES

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

MICHELLE R GRYCZKOWSKI PHD (NPI 1073813804) is an individual clinical provider in Bethesda, Maryland, licensed in Maryland (05840) and active in the NPI registry since October 2010. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1073813804
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHELLE R GRYCZKOWSKICredential: PHD
Location Address7910 WOODMONT AVE STE 1101Bethesda, MD 20814-7059
Mailing Address7910 Woodmont Ave Ste 1101Bethesda, MD 20814-7059 · (301) 304-6116
Sole ProprietorYes
Enumeration DateOctober 27, 2010
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1073813804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 05840
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 3267 (WI)
7910 WOODMONT AVE STE 1101, Bethesda, MD 20814

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michelle R Gryczkowski Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
7910 WOODMONT AVE STE 1101
BETHESDA, MD 20814
Psychologist (Clinical)
7910 WOODMONT AVE STE 1101
BETHESDA, MD 20814
Psychologist (Clinical)
7910 WOODMONT AVE STE 1101
BETHESDA, MD 20814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073813804, enumerated as an "individual" on October 27, 2010.

The provider is located at 7910 WOODMONT AVE STE 1101 BETHESDA, MD 20814 and the phone number is (301) 304-6116.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.