DR. MARK C MICHAEL PHD, CGP
NPI 1508864166
Psychologist - Clinical in Seattle, WA

Active since July 08, 2005Opted out of Medicare · through Jan 1, 2027
309 FEDERAL AVE E, STE A, SEATTLE, WA 98102(206) 324-8285 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Mark C Michael Phd, Cgp NPPES

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

DR. MARK C MICHAEL PHD, CGP (NPI 1508864166) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY00001182) and active in the NPI registry since July 2005. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508864166
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK C MICHAELCredential: PHD, CGP
Location Address309 FEDERAL AVE E, STE ASeattle, WA 98102-5416
Mailing Address309 Federal Ave E, Ste ASeattle, WA 98102-5416 · (206) 324-8285
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1508864166 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 WA · PY00001182
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.
309 FEDERAL AVE E, Seattle, WA 98102

Other Identifiers 1

OtherMI-9953WA · Regence Blue Shield

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. Mark C Michael Phd, Cgp 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 January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98102 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Mark Michael's NPI number?

The NPI number for Mark Michael is 1508864166. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Mark Michael located?

Mark Michael practices at 309 Federal Ave E Ste A, Seattle, WA 98102. The listed phone number is (206) 324-8285.

What is Mark Michael's specialty?

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

Is Mark Michael enrolled in Medicare?

No. Mark Michael has opted out of Medicare through January 1, 2027. 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 Mark Michael was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.