DR. ILYSA RACHEL MICHELSON PSY.D
NPI 1699930255
Psychologist - Clinical in New York, NY

Active since July 23, 2008Opted out of Medicare · through Jul 1, 2027
423 E 23RD ST, NEW YORK, NY 10010(212) 686-7500 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ilysa Rachel Michelson Psy.d NPPES

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

DR. ILYSA RACHEL MICHELSON PSY.D (NPI 1699930255) is an individual clinical provider in New York, New York, licensed in New York (017724) and active in the NPI registry since July 2008. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699930255
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ILYSA RACHEL MICHELSONCredential: PSY.D
Location Address423 E 23RD STNew York, NY 10010-5011
Mailing Address1020 Park Ave, Apartment 4Hoboken, NJ 07030-4336 · (201) 526-4223
Sole ProprietorNo
Enumeration DateJuly 23, 2008
Last NPPES UpdateJuly 25, 2008
NPI 1699930255 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 · 017724
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.

423 E 23RD ST, New York, NY 10010

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. Ilysa Rachel Michelson Psy.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 July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
423 E 23RD ST
NEW YORK, NY 10010
Emergency Medicine (Emergency Medical Services)
423 E 23RD ST
NEW YORK, NY 10010
Anesthesiology
423 E 23RD ST
NEW YORK, NY 10010
Nurse Practitioner (Gerontology)
423 E 23RD ST
NEW YORK, NY 10010
Internal Medicine (Gastroenterology)
423 E 23RD ST
NEW YORK, NY 10010
Psychiatry & Neurology (Neurology)
423 E 23RD ST
NEW YORK, NY 10010
Psychiatry & Neurology (Neurology)
423 E 23RD ST
NEW YORK, NY 10010
Physical Therapist
423 E 23RD ST
NEW YORK, NY 10010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699930255, enumerated as an "individual" on July 23, 2008.

The provider is located at 423 E 23RD ST NEW YORK, NY 10010 and the phone number is (212) 686-7500.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.