Individual provider Active NPI

Michael Greisler, PSY.D., LCSW

  • Clinical Psychologist
  • Wexford, PA
National Provider Identifier
1164509030
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017908 Issued in PA
Practice address
117 Vip Dr Ste 310
Wexford, PA 15090-6936
Phone
(724) 934-3905
Fax
(724) 934-3906
NPI assigned
Oct 31, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014990 PA
Clinical Psychologist 103TC0700X PS017908 PA Primary

Addresses

Primary practice location

117 Vip Dr Ste 310
Wexford, PA 15090-6936

Mailing address

7733 Oak St Apt 1
Pittsburgh, PA 15237-2077
Phone (412) 607-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120723000424 PA Practitioner - Clinical Social Worker 1850557703 Reassigns benefits to 2 organizations
I20160210000745 PA Practitioner - Clinical Psychologist 1850557703

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invision Customized ServicesGroup PAC ID 2769914811, 4 clinicians

Practice addresses (Care Compare)

12450 Perry Hwy
Suite 202
Wexford, PA 15090-7387
Phone (724) 933-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017908PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Invision Customized Services CurrentSince Jul 29, 2024 Accepting new patients
Invision Integrated Behavioral Health Clinical CurrentSince Sep 3, 2019 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

117 Vip Dr
Ste 310
Wexford, PA 15090
Phone (724) 419-4138

12450 Perry Hwy
Ste 202
Wexford, PA 15090
Phone (724) 933-5100

12450 Perry Hwy
Wexford, PA 15090
Phone (724) 933-2961

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1164509030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 OAK ST APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372077",
            "telephone_number": "412-607-5643",
            "fax_number": "724-934-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906936",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREISLER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014990",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.