DR. BENJAMIN HOWARD MICHAELIS PH.D.
NPI 1568525996
Psychologist - Clinical in New York, NY
About Dr. Benjamin Howard Michaelis Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN HOWARD MICHAELIS PH.D. (NPI 1568525996) is an individual clinical provider in New York, New York, licensed in New York (016348) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Benjamin Howard Michaelis Ph.d. 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 April 1, 2017 through April 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10024
NEW YORK, NY 10024
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 Benjamin Michaelis's NPI number?
The NPI number for Benjamin Michaelis is 1568525996. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Benjamin Michaelis located?
Benjamin Michaelis practices at 590 W End Ave Suite 1A, New York, NY 10024. The listed phone number is (917) 992-0120.
What is Benjamin Michaelis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Benjamin Michaelis enrolled in Medicare?
No. Benjamin Michaelis has opted out of Medicare through April 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 Benjamin Michaelis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Benjamin Howard Michaelis, PH.D. · NPI 1568525996
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1568525996 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 016348 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 590 W END AVE, SUITE 1A, New York, NY 10024-1722
- **Phone:** (917) 992-0120
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN Q52007 (NY); Medicare ID-Type Unspecified VM8781 (NY); Medicaid 02689370 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1568525996) · Data from the CMS NPPES public registry.