DR. GEOFFREY MICHAELSON PH.D.
NPI 1689881062
Psychologist - Family in Vienna, VA

Q: What is Geoffrey Michaelson's NPI number?

The NPI number for Geoffrey Michaelson is 1689881062. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Geoffrey Michaelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Q: Is Geoffrey Michaelson enrolled in Medicare?

No. Geoffrey Michaelson has opted out of Medicare through April 24, 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.

Active since May 17, 2007Opted out of Medicare · through Apr 24, 2027

2110 GALLOWS RD # A, SUITE 100, VIENNA, VA 22182(703) 883-1770 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Geoffrey Michaelson Ph.d. NPPES

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

DR. GEOFFREY MICHAELSON PH.D. (NPI 1689881062) is an individual family provider in Vienna, Virginia, licensed in District Of Columbia (PSY1574) and active in the NPI registry since May 2007. He has opted out of Medicare through April 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689881062

Entity TypeIndividualMale

Primary Taxonomy103TF0000X

Provider Legal NameDR. GEOFFREY MICHAELSONCredential: PH.D.

Location Address2110 GALLOWS RD # A, SUITE 100Vienna, VA 22182-3962

Mailing Address1950 Hopewood DrFalls Church, VA 22043-1870 · (703) 534-5424

Phone(703) 883-1770

Sole ProprietorYes

Enumeration DateMay 17, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1689881062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers

Taxonomy Code103TF0000X

Licenses✔ Licensed in DC · PSY1574✔ Licensed in VA · 0810001350

Definition

A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Also ListedPsychologistTaxonomy 103T00000X · License 0810001350 (VA), PSY1574 (DC)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 0810001350 (VA), PSY1574 (DC)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810001350 (VA), PSY1574 (DC)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 0810001350 (VA), PSY1574 (DC)

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. Geoffrey Michaelson 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 24, 2017 through April 24, 2027.

Opt-Out Effective DateApril 24, 2017

Opt-Out In Effect ThroughApril 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Geoffrey Michaelson's NPI number?

The NPI number for Geoffrey Michaelson is 1689881062. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Geoffrey Michaelson located?

Geoffrey Michaelson practices at 2110 Gallows Rd # A Suite 100, Vienna, VA 22182. The listed phone number is (703) 883-1770.

What is Geoffrey Michaelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Is Geoffrey Michaelson enrolled in Medicare?

No. Geoffrey Michaelson has opted out of Medicare through April 24, 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 Geoffrey Michaelson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.