DR. MICHAEL LIBERTAZZO ED.D.
NPI 1730243023
Psychologist - Counseling in Princeton, NJ
About Dr. Michael Libertazzo Ed.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL LIBERTAZZO ED.D. (NPI 1730243023) is an individual counseling provider in Princeton, New Jersey, licensed in New Jersey (PSYCHOLOGIST #2370) and active in the NPI registry since December 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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. Michael Libertazzo Ed.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 January 1, 2013 through January 1, 2027.
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 Libertazzo's NPI number?
The NPI number for Michael Libertazzo is 1730243023. It was assigned to this individual provider in the NPPES registry on December 20, 2006.
Where is Michael Libertazzo located?
Michael Libertazzo practices at 112 Rollingmead St, Princeton, NJ 08540. The listed phone number is (609) 921-6264.
What is Michael Libertazzo's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Michael Libertazzo enrolled in Medicare?
No. Michael Libertazzo has opted out of Medicare through January 1, 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 Michael Libertazzo 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.