Michael Accardo, PHD, LP
Individual provider Active NPI Psychologist · Middleton, WI
NPI 1396417366 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1396417366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS019377 (PA)
- Practice address
- 8430 Market St Apt 300
Middleton, WI 53562-4782 - Phone
- (440) 678-8882
- NPI assigned
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019377 | PA | Yes |
Addresses
Primary practice location
8430 Market St Apt 300
Middleton, WI 53562-4782
Mailing address
8430 Market St Apt 300
Middleton, WI 53562-4782
Phone (440) 678-8882
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.