DR. MICHAEL LIBERTAZZO ED.D.
NPI 1730243023
Psychologist - Counseling in Princeton, NJ

Active since December 20, 2006Opted out of Medicare · through Jan 1, 2027
112 ROLLINGMEAD ST, PRINCETON, NJ 08540(609) 921-6264(609) 921-1998 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. 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

NPI1730243023
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. MICHAEL LIBERTAZZOCredential: ED.D.
Location Address112 ROLLINGMEAD STPrinceton, NJ 08540-4068
Mailing Address112 Rollingmead StPrinceton, NJ 08540-4068 · (609) 921-6264 · Fax (609) 921-1998
Fax(609) 921-1998
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730243023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in NJ · PSYCHOLOGIST #2370
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
112 ROLLINGMEAD ST, Princeton, NJ 08540

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.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 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.

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.