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MICHAEL ROBERT DUDIS PH.D.
NPI 1710118609
Psychologist - Clinical in Alexandria, VA

Active since July 27, 2009Opted out of Medicare · through Apr 1, 2028
6330 ALDERMAN DR, ALEXANDRIA, VA 22315(703) 520-1055 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Nov 2, 2017 (2 updates tracked since 2017).

About Michael Robert Dudis Ph.d. NPPES

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

MICHAEL ROBERT DUDIS PH.D. (NPI 1710118609) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0810003918) and active in the NPI registry since July 2009. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710118609
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL ROBERT DUDISCredential: PH.D.
Location Address6330 ALDERMAN DRAlexandria, VA 22315-3731
Mailing Address6330 Alderman DrAlexandria, VA 22315-3731 · (703) 520-1055
Phone(703) 520-1055
Sole ProprietorYes
Enumeration DateJuly 27, 2009
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1710118609 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 VA · 0810003918
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.
6330 ALDERMAN DR, Alexandria, VA 22315
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Robert Dudis 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 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-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 22315 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Michael Dudis's NPI number?

The NPI number for Michael Dudis is 1710118609. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Michael Dudis located?

Michael Dudis practices at 6330 Alderman Dr, Alexandria, VA 22315. The listed phone number is (703) 520-1055.

What is Michael Dudis's specialty?

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

Is Michael Dudis enrolled in Medicare?

No. Michael Dudis has opted out of Medicare through April 1, 2028. 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 Michael Dudis was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.