Active NPI
Steven R Michelson, PHD
- Psychologist
- Acton, MA
National Provider Identifier
1235237363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2011
- Practice address
- 289 Great Rd
# G01
Acton, MA 01720-4766 - Phone
- (978) 772-4457
- Fax
- (978) 264-4851
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2011 | MA | Primary |
Addresses
Primary practice location
289 Great Rd
# G01
Acton, MA 01720-4766
Mailing address
PO Box 904
Acton, MA 01720-0904
Phone (978) 772-4457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1235237363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 904",
"city": "ACTON",
"state": "MA",
"postal_code": "017200904",
"telephone_number": "978-772-4457",
"fax_number": "978-264-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 GREAT RD",
"address_2": "# G01",
"city": "ACTON",
"state": "MA",
"postal_code": "017204766",
"telephone_number": "978-772-4457",
"fax_number": "978-264-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSON",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.