Individual provider Active NPI

Michael Garofano, PH.D

  • Clinical Neuropsychologist
  • Asheville, NC
National Provider Identifier
1205900206
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2772 Issued in NC
Practice address
6 Herman Avenue Ext Ste B
Asheville, NC 28803-9106
Phone
(828) 713-7922
Fax
(267) 295-1097
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 04034 MD
Clinical Neuropsychologist 103G00000X PSY13584 CA
Clinical Neuropsychologist 103G00000X 2772 NC Primary
Psychologist 103T00000X 04034 MD
Psychologist 103T00000X 2772 NC
Psychologist 103T00000X PSY13584 CA

Addresses

Primary practice location

6 Herman Avenue Ext Ste B
Asheville, NC 28803-9106

Mailing address

6 Herman Avenue Ext Ste B
Asheville, NC 28803-9106
Phone (828) 713-7922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170215000796 NC Practitioner - Clinical Psychologist 8820167505 Practice locations: Asheville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Herman Ave Ext
Asheville, NC 28803-9106
Phone (828) 684-9213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2772NCMDCounselor
04034MDMDClinical Neuropsychologist
PSY13584CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1205900206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HERMAN AVENUE EXT STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039106",
            "telephone_number": "828-713-7922",
            "fax_number": "267-295-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HERMAN AVENUE EXT STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039106",
            "telephone_number": "828-713-7922",
            "fax_number": "267-295-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFANO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "04034",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY13584",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "2772",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04034",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2772",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.