DR. MICHAEL JOSEPH COLIS SR. PH.D.
NPI 1578640942
Clinical Neuropsychologist in Haddon Township, NJ

Q: What is Michael Colis's NPI number?

The NPI number for Michael Colis is 1578640942. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Michael Colis'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 Michael Colis was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108(856) 310-9696(856) 854-0992 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, May 19, 2016 (2 updates tracked since 2016).

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About Dr. Michael Joseph Colis Sr. Ph.d. NPPES

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

DR. MICHAEL JOSEPH COLIS SR. PH.D. (NPI 1578640942) is an individual clinical neuropsychologist in Haddon Township, New Jersey, licensed in New Jersey (NJ1599) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1578640942

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. MICHAEL JOSEPH COLIS SR.Credential: PH.D.

Location Address215 HIGHLAND AVE STE CHaddon Township, NJ 08108-2634

Mailing Address215 Highland Ave Ste CHaddon Township, NJ 08108-2634 · (856) 310-9696 · Fax (856) 854-0992

Phone(856) 310-9696

Fax(856) 854-0992

Sole ProprietorYes

Medical School CMSOtherGraduated 1978

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1578640942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NJ · NJ1599

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License NJ1599 (NJ)

215 HIGHLAND AVE STE C, Haddon Township, NJ 08108

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Other Identifiers 2

Other1599NJ · Psychology License

Medicaid2344602NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Michael Joseph Colis Sr. Ph.d. 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 ID4284673526

PECOS Enrollment IDI20050427000269

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.

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.

ANNE M CAVALIERE LPC

Counselor (Professional)