DR. MICHAEL A DESTEFANO PH.D.
NPI 1982972378
Psychologist in Bryn Mawr, PA
About Dr. Michael A Destefano Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL A DESTEFANO PH.D. (NPI 1982972378) is an individual psychologist in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (PS004910L) and active in the NPI registry since December 2011. He has opted out of Medicare through April 1, 2027.
NPPES Registry Identity
Specialties & Licenses 3
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 A Destefano 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, 2021 through April 1, 2027.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRYN MAWR, PA 19010
BRYN MAWR, PA 19010
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 Destefano's NPI number?
The NPI number for Michael Destefano is 1982972378. It was assigned to this individual provider in the NPPES registry on December 13, 2011.
Where is Michael Destefano located?
Michael Destefano practices at 14 S Bryn Mawr Ave Suite 205, Bryn Mawr, PA 19010. The listed phone number is (610) 525-4828.
What is Michael Destefano's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Michael Destefano enrolled in Medicare?
No. Michael Destefano has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Michael Destefano was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.