Sandra Testa Michelson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018426 Issued in PA

Practice address

314 Moore BLDG
University Park, PA 16802-3103

Phone

(814) 865-2191

Fax

(814) 863-1331

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Pennsylvania State University

  • Public Health or Welfare Agency
  • University Park, PA
  • NPI 1386784593
  Medicare reassignment NPD
• The Pennsylvania State University

  • Hearing and Speech Clinic/Center
  • University Park, PA
  • NPI 1356670608
  NPD

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1598241465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MOORE BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023103",
            "telephone_number": "814-865-2191",
            "fax_number": "814-863-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MOORE BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023103",
            "telephone_number": "814-865-2191",
            "fax_number": "814-863-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "SANDRA",
        "middle_name": "TESTA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M Mathis Halpin
• Colin O McEntee, LCSW
• David Craig Mellinger, MD
• Renee Messina, ATC
• Nicholas J. Meyer, MD
• Laura Michie
• Bettyann Milliron, RN
• Clinton Mills
• Erin Marie Mosser, LPN
• Angela Mowrey, RN

• Clinical Psychologist in University Park, PA
• Providers in University Park, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.

Verify at the official NPI Registry.