GEOFFREY MICHAELSON, PH.D.
Family Psychologist · VIENNA, VA
Individual Active Opted out of Medicare NPI 1689881062
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | ✓ | PSY1574 | DC |
| Psychologist | 103T00000X | 0810001350 | VA | |
| Psychologist | 103T00000X | PSY1574 | DC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 0810001350 | VA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY1574 | DC | |
| Clinical Psychologist | 103TC0700X | 0810001350 | VA | |
| Clinical Psychologist | 103TC0700X | PSY1574 | DC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810001350 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY1574 | DC | |
| Family Psychologist | 103TF0000X | 0810001350 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- No
- Power mobility
- No
- Hospice
- No
Opted out of Medicare (Clinical Psychologist), effective 2017-04-24 through 2027-04-24.
Other Family Psychologist providers in Virginia
- NPI 1073114757
- NPI 1689283426
- NPI 1831606730
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.