NPIMap

Organization Active NPI

Michael T. Degilio, Psy.D. P.C.

  • Clinical Psychologist
  • Lehighton, PA
National Provider Identifier
1104051788
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016013 Issued in PA
Legal business name
MICHAEL T. DEGILIO, PSY.D. P.C.
Practice address
811 Blakeslee Boulevard Drive East
Suite 80
Lehighton, PA 18235
Phone
(610) 377-3311
Fax
(610) 377-6265
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael T. Degilio, PSY.D.NPI 1356329528
Title
Licensed Psychologist
Phone
(570) 778-3814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016013 PA Primary

Addresses

Primary practice location

811 Blakeslee Boulevard Drive East
Suite 80
Lehighton, PA 18235

Mailing address

811 Blakeslee Boulevard Drive Ease
Suite 80
Lehighton, PA 18235
Phone (610) 377-3311

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1104051788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 BLAKESLEE BOULEVARD DRIVE EASE",
            "address_2": "SUITE 80",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "18235",
            "telephone_number": "610-377-3311",
            "fax_number": "610-377-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 BLAKESLEE BOULEVARD DRIVE EAST",
            "address_2": "SUITE 80",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "18235",
            "telephone_number": "610-377-3311",
            "fax_number": "610-377-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. DEGILIO, PSY.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "DEGILIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-778-3814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.