MATTHEW MICELI
NPI 1124780333
Psychologist in St Petersburg, FL

Active since October 06, 2021PECOS Enrolled
146 2ND ST N STE 305, ST PETERSBURG, FL 33701(727) 289-6583 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Miceli NPPES

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

MATTHEW MICELI (NPI 1124780333) is an individual psychologist in St Petersburg, Florida and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124780333
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW MICELI
Location Address146 2ND ST N STE 305St Petersburg, FL 33701-3361
Mailing Address146 2nd St N Ste 305Saint Petersburg, FL 33701-3361 · (727) 289-6583
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1124780333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.

146 2ND ST N STE 305, St Petersburg, FL 33701

Other Identifiers 1

OtherPY11206FL · Florida Department Of Health

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Miceli 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 2

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

Psychologist (Clinical)
146 2ND ST N STE 305
SAINT PETERSBURG, FL 33701
Nurse Practitioner (Family)
146 2ND ST N STE 305
ST PETERSBURG, FL 33701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124780333, enumerated as an "individual" on October 06, 2021.

The provider is located at 146 2ND ST N STE 305 ST PETERSBURG, FL 33701 and the phone number is (727) 289-6583.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida,. Please consult your insurance carrier or call the provider to verify.