DR. JAMES W MIKESELL PH.D.
NPI 1194816512
Psychologist - Clinical in Fayetteville, NY

Active since September 28, 2006PECOS Enrolled
7000 E GENESEE ST BLDG C, FAYETTEVILLE, NY 13066(315) 449-0117(315) 449-9623 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2019, May 22, 2019 (2 updates tracked since 2019).

About Dr. James W Mikesell Ph.d. NPPES

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

DR. JAMES W MIKESELL PH.D. (NPI 1194816512) is an individual clinical provider in Fayetteville, New York, licensed in New York (010649) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194816512
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES W MIKESELLCredential: PH.D.
Location Address7000 E GENESEE ST BLDG CFayetteville, NY 13066
Mailing Address4465 E Genesee St # 303De Witt, NY 13214-2229 · (315) 449-0117 · Fax (315) 449-9623
Fax(315) 449-9623
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1194816512 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 NY · 010649
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 ListedClinical NeuropsychologistTaxonomy 103G00000X
7000 E GENESEE ST BLDG C, Fayetteville, NY 13066

Secondary Practice Locations 2

Location 16713 Collamer Rd, Ghaly Healing & WellnessEast Syracuse, NY 13057-9759 · Phone (315) 449-0117 · Fax (315) 449-9623
Location 27000 E Genesee St Bldg CFayetteville, NY 13066 · Phone (315) 449-0117 · Fax (315) 449-9623

Other Identifiers 1

Medicaid018238858NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. James W Mikesell Ph.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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
107 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
7000 E GENESEE ST BLDG C
FAYETTEVILLE, NY 13066
Chiropractor
7000 E GENESEE ST BLDG C
FAYETTEVILLE, NY 13066
Psychologist (Clinical)
7000 E GENESEE ST BLDG C
FAYETTEVILLE, NY 13066
Chiropractor
7000 E GENESEE ST BLDG C
FAYETTEVILLE, NY 13066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194816512, enumerated as an "individual" on September 28, 2006.

The provider is located at 7000 E GENESEE ST BLDG C FAYETTEVILLE, NY 13066 and the phone number is (315) 449-0117.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.