MICHELLE SANTIAGO-MEDINA PH.D.
NPI 1477075232
Psychologist - Clinical in Bronx, NY

Q: What is Michelle Santiago-medina's NPI number?

The NPI number for Michelle Santiago-medina is 1477075232. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Q: What is Michelle Santiago-medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 13, 2017PECOS Enrolled

1235 PELHAM PKWY N, BRONX, NY 10469(718) 231-4300 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2020, Feb 10, 2020, Jul 13, 2017 (3 updates tracked since 2017).

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About Michelle Santiago-medina Ph.d. NPPES

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

MICHELLE SANTIAGO-MEDINA PH.D. (NPI 1477075232) is an individual clinical provider in Bronx, New York, licensed in New York (P06330) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477075232

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMICHELLE SANTIAGO-MEDINACredential: PH.D.

Location Address1235 PELHAM PKWY NBronx, NY 10469-5817

Mailing Address10765 92nd StOzone Park, NY 11417-1503 · (939) 250-8303

Phone(718) 231-4300

Sole ProprietorNo

Enumeration DateJuly 13, 2017

Last NPPES UpdateApril 20, 20203 updates tracked since enumeration

NPPES CertifiedApril 20, 2020

✔ NPI 1477075232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · P06330

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.

1235 PELHAM PKWY N, Bronx, NY 10469

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Santiago-medina 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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Santiago-medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jamaica Hospital

11 mi

Emergency Medical Services

8900 VAN WYCK EXPWY
Jamaica, NY 11418

Reassigned Medicare billing, New York enrollment
738 clinicians in this Medicare group

NPI 1477505220 (718) 206-8918

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10469 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 2

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

MORRIS BERKOWITZ

Skilled Nursing Facility

1235 PELHAM PKWY N
BRONX, NY 10469

Bronx County (718) 231-4300

MS. VERONIKA BORODINA R.N.

Registered Nurse

1235 PELHAM PKWY N
BRONX, NY 10469

Bronx County (718) 231-4300

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 Michelle Santiago-medina's NPI number?

The NPI number for Michelle Santiago-medina is 1477075232. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Michelle Santiago-medina located?

Michelle Santiago-medina practices at 1235 Pelham Pkwy N, Bronx, NY 10469. The listed phone number is (718) 231-4300.

What is Michelle Santiago-medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michelle Santiago-medina enrolled in Medicare?

Yes. Michelle Santiago-medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Santiago-medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Santiago-medina reassigns Medicare benefits to Jamaica Hospital (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Santiago-medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Santiago-medina was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.