DR. MICHAELA KOVELESKIE PSYD
NPI 1245066406
Psychologist - Clinical in Bangor, ME

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment
656 STATE ST, BANGOR, ME 04401(207) 941-4000 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michaela Koveleskie Psyd NPPES

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

DR. MICHAELA KOVELESKIE PSYD (NPI 1245066406) is an individual clinical provider in Bangor, Maine, licensed in Maine (PS2603) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245066406
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAELA KOVELESKIECredential: PSYD
Location Address656 STATE STBangor, ME 04401-5609
Mailing Address233 Brickett Point EstsOakland, ME 04963-4033 · (302) 547-7342
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 8, 2024
NPI 1245066406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in ME · PS2603 Licensed in RI · PS02286
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.

656 STATE ST, Bangor, ME 04401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michaela Koveleskie Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143751982
PECOS Enrollment IDI20241003001020
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$162.77 typical visit price
range $53.26 – $162.77
Typical copayment $40.69 (range $13.31 – $40.69)
Most-billed visit code 99205
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

Social Worker (Clinical)
656 STATE ST
BANGOR, ME 04401
Social Worker (Clinical)
656 STATE ST
BANGOR, ME 04401
Family Medicine (Adult Medicine)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Nurse Practitioner
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245066406, enumerated as an "individual" on September 12, 2024.

The provider is located at 656 STATE ST BANGOR, ME 04401 and the phone number is (207) 941-4000.

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