DR. PAUL CRITELLI PH.D.
NPI 1609803469
Psychologist - Clinical in Grand Rapids, MI

Active since June 27, 2006PECOS Enrolled
858 IROQUOIS DR SE, GRAND RAPIDS, MI 49506(616) 248-4738(616) 248-4745 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Critelli Ph.d. NPPES

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

DR. PAUL CRITELLI PH.D. (NPI 1609803469) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301002801) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609803469
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PAUL CRITELLICredential: PH.D.
Location Address858 IROQUOIS DR SEGrand Rapids, MI 49506-3373
Mailing Address858 Iroquois Dr SeGrand Rapids, MI 49506-3373 · (616) 248-4738 · Fax (616) 248-4745
Fax(616) 248-4745
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609803469 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 MI · 6301002801
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.
858 IROQUOIS DR SE, Grand Rapids, MI 49506

Other Identifiers 4

Other4590519MI · Aetna
Other68OC445030MI · Blue Cross Blue Shield
Other7419464MI · Cigna Behavioral Health
Other041872MI · Valueoptions

Accepted Insurance

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. Paul Critelli 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
168 services168 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Paul Critelli's NPI number?

The NPI number for Paul Critelli is 1609803469. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Paul Critelli located?

Paul Critelli practices at 858 Iroquois Dr SE, Grand Rapids, MI 49506. The listed phone number is (616) 248-4738.

What is Paul Critelli's specialty?

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

Is Paul Critelli enrolled in Medicare?

Yes. Paul Critelli is registered in the Medicare PECOS enrollment system.

What insurance does Paul Critelli accept?

Health plans from McLaren Health Plan Community, Oscar Insurance Company, Priority Health and Providence Health Plan list Paul Critelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Critelli 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.