DR. ERNESTO MICHELUCCI PH.D.
NPI 1609814524
Psychologist - Clinical in Fairport, NY

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450(585) 223-5920(585) 223-5727 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ernesto Michelucci Ph.d. NPPES

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

DR. ERNESTO MICHELUCCI PH.D. (NPI 1609814524) is an individual clinical provider in Fairport, New York, licensed in New York (012014) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (1992).

NPPES Registry Identity

NPI1609814524
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ERNESTO MICHELUCCICredential: PH.D.
Location Address620 CROSSKEYS OFFICE PARKFairport, NY 14450-3508
Mailing Address620 Crosskeys Office ParkFairport, NY 14450-3508 · (585) 223-5920 · Fax (585) 223-5727
Fax(585) 223-5727
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1992
Enumeration DateJune 3, 2006
Last NPPES UpdateApril 20, 2012
NPI 1609814524 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 NY · 012014
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.
620 CROSSKEYS OFFICE PARK, Fairport, NY 14450

Other Identifiers 1

Medicare ID-Type UnspecifiedRA0194NY · Clinical Psychologist

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 and accepts Medicare assignment

Dr. Ernesto Michelucci 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 ID3173424652
PECOS Enrollment IDI20040116000976
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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
58 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14450 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Psychologist
620 CROSSKEYS OFFICE PARK
FAIRPORT, NY 14450
Psychologist
620 CROSSKEYS OFFICE PARK
FAIRPORT, NY 14450
Psychologist
620 CROSSKEYS OFFICE PARK
FAIRPORT, NY 14450
Psychologist
620 CROSSKEYS OFFICE PARK
FAIRPORT, NY 14450
Psychologist
620 CROSSKEYS OFFICE PARK
FAIRPORT, NY 14450
Psychologist
620 CROSSKEYS OFFICE PARK
FAIRPORT, NY 14450

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 Ernesto Michelucci's NPI number?

The NPI number for Ernesto Michelucci is 1609814524. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Ernesto Michelucci located?

Ernesto Michelucci practices at 620 Crosskeys Office Park, Fairport, NY 14450. The listed phone number is (585) 223-5920.

What is Ernesto Michelucci's specialty?

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

Is Ernesto Michelucci enrolled in Medicare?

Yes. Ernesto Michelucci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ernesto Michelucci accept?

Health plans from Providence Health Plan list Ernesto Michelucci 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 Ernesto Michelucci was last updated on April 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.