DR. EVELYN MICCIO PSY.D.
NPI 1538220397
Clinical Neuropsychologist in San Francisco, CA

Q: What is Evelyn Miccio's NPI number?

The NPI number for Evelyn Miccio is 1538220397. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Evelyn Miccio's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Evelyn Miccio was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 13, 2006PECOS Enrolled

4141 GEARY BLVD FL 3, SAN FRANCISCO, CA 94118(510) 798-3311 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Evelyn Miccio Psy.d. NPPES

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

DR. EVELYN MICCIO PSY.D. (NPI 1538220397) is an individual clinical neuropsychologist in San Francisco, California, licensed in California (PSY18955) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538220397

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. EVELYN MICCIOCredential: PSY.D.

Location Address4141 GEARY BLVD FL 3San Francisco, CA 94118-3111

Mailing Address4141 Geary Blvd Fl 3San Francisco, CA 94118-3111 · (510) 798-3311

Phone(510) 798-3311

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1538220397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY18955

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4141 GEARY BLVD FL 3, San Francisco, CA 94118

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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. Evelyn Miccio Psy.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.

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Other Providers at the Same Location NPPES 15

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

MS. SUSAN KRISTINE SIEP LCSW

Social Worker (Clinical)

4141 GEARY BLVD FL 3, FRENCH CAMPUS KAISER PSYCHIATRY DEPARTMENT
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-1073

KAISER PERMANENTE

Psychologist (Clinical)

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-4092

KATHLEEN ONGBONGAN HARDISTY LCSW

Social Worker (Clinical)

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-3147

DR. ADRIENNE ANNE LOVELUND PSY.D.

Psychologist (Clinical)

4141 GEARY BLVD FL 3, KAISER PERMANENTE, DEPT. OF PSYCHIATRY
SAN FRANCISCO, CA 94118

San Francisco County (415) 864-6223

DR. KAREN LYNNE HELMUTH PSY.D

Psychologist

4141 GEARY BLVD FL 3, DEPT. OF PSYCHIATRY
SAN FRANCISCO, CA 94118

San Francisco County (415) 883-3165

MICHAL WEBER PHD

Clinical Neuropsychologist

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-5102

KHASHAYAR FARHADI LANGROUDI

Psychologist (Clinical)

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-2292

DR. PATRICIA N. DANG PSY. D.

Psychologist (Clinical)

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-2292

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 Evelyn Miccio's NPI number?

The NPI number for Evelyn Miccio is 1538220397. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Evelyn Miccio located?

Evelyn Miccio practices at 4141 Geary Blvd Fl 3, San Francisco, CA 94118. The listed phone number is (510) 798-3311.

What is Evelyn Miccio's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Evelyn Miccio enrolled in Medicare?

Yes. Evelyn Miccio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evelyn Miccio was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.