DR. JOHN JOSEPH PIETROFESA ED.D.
NPI 1649322181
Psychologist in Bloomfield Hills, MI

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
74 W LONG LAKE RD, SUITE 104, BLOOMFIELD HILLS, MI 48304(248) 642-6066(248) 642-5739 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Joseph Pietrofesa Ed.d. NPPES

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

DR. JOHN JOSEPH PIETROFESA ED.D. (NPI 1649322181) is an individual psychologist in Bloomfield Hills, Michigan, licensed in Michigan (6301005293) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1967).

NPPES Registry Identity

NPI1649322181
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN JOSEPH PIETROFESACredential: ED.D.
Location Address74 W LONG LAKE RD, SUITE 104Bloomfield Hills, MI 48304-2769
Mailing AddressPo Box 99Bloomfield Hills, MI 48303-0099 · (248) 646-0821
Fax(248) 642-5739
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1967
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649322181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301005293
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
74 W LONG LAKE RD, Bloomfield Hills, MI 48304

Other Identifiers 3

Medicare UPINR67143MI
Medicare ID-Type Unspecified0F34738MI
Other039078Value Options

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. John Joseph Pietrofesa Ed.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 ID4486788320
PECOS Enrollment IDI20100814000169
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.

Social Worker (Clinical)
74 W LONG LAKE RD, SUITE 100
BLOOMFIELD HILLS, MI 48304
Counselor (Professional)
74 W LONG LAKE RD, SUITE 104
BLOOMFIELD HILLS, MI 48304
Counselor (Professional)
74 W LONG LAKE RD, SUITE 104
BLOOMFIELD HILLS, MI 48304
Counselor (Professional)
74 W LONG LAKE RD, SUITE 104
BLOOMFIELD HILLS, MI 48304
Social Worker (Clinical)
74 W LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Psychologist
74 W LONG LAKE RD, SUITE 104
BLOOMFIELD HILLS, MI 48304
Counselor (Professional)
74 W LONG LAKE RD, SUITE 104
BLOOMFIELD HILLS, MI 48304
Counselor
74 W LONG LAKE RD, SUITE 104
BLOOMFIELD HILLS, MI 48304

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 John Pietrofesa's NPI number?

The NPI number for John Pietrofesa is 1649322181. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is John Pietrofesa located?

John Pietrofesa practices at 74 W Long Lake Rd Suite 104, Bloomfield Hills, MI 48304. The listed phone number is (248) 642-6066.

What is John Pietrofesa's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is John Pietrofesa enrolled in Medicare?

Yes. John Pietrofesa 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 John Pietrofesa accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan and 1 other insurer list John Pietrofesa 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 John Pietrofesa 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.