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DR. MICHAEL WYDO PSY.D., ABPP
NPI 1104287325
Psychologist - Cognitive & Behavioral in Huntington Beach, CA

Active since March 15, 2016Opted out of Medicare · through Dec 10, 2026
5092 FLAMINGO CIR, HUNTINGTON BEACH, CA 92649(919) 521-1835 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Wydo Psy.d., Abpp NPPES

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

DR. MICHAEL WYDO PSY.D., ABPP (NPI 1104287325) is an individual cognitive & behavioral provider in Huntington Beach, California, licensed in California (20171) and active in the NPI registry since March 2016. He has opted out of Medicare through December 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104287325
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDR. MICHAEL WYDOCredential: PSY.D., ABPP
Location Address5092 FLAMINGO CIRHuntington Beach, CA 92649-1408
Mailing Address5092 Flamingo CirHuntington Beach, CA 92649-1408 · (919) 521-1835
Phone(919) 521-1835
Sole ProprietorYes
Enumeration DateMarch 15, 2016
✔ NPI 1104287325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in CA · 20171
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
5092 FLAMINGO CIR, Huntington Beach, CA 92649
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Wydo Psy.d., Abpp 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 December 10, 2018 through December 10, 2026.

Opt-Out Effective DateDecember 10, 2018
Opt-Out In Effect ThroughDecember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Wydo's NPI number?

The NPI number for Michael Wydo is 1104287325. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Michael Wydo located?

Michael Wydo practices at 5092 Flamingo Cir, Huntington Beach, CA 92649. The listed phone number is (919) 521-1835.

What is Michael Wydo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Michael Wydo enrolled in Medicare?

No. Michael Wydo has opted out of Medicare through December 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Wydo was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.