Paul Critelli, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301002801 Issued in MI

Practice address

858 Iroquois Dr SE
Grand Rapids, MI 49506-3373

Phone

(616) 248-4738

Fax

(616) 248-4745

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

75.05 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

40

Cost

83.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• BCS of Michigan LLC

  • Psychologist
  • Novi, MI
  • NPI 1164816195

  Clinical

  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609803469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 IROQUOIS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063373",
            "telephone_number": "616-248-4738",
            "fax_number": "616-248-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 IROQUOIS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063373",
            "telephone_number": "616-248-4738",
            "fax_number": "616-248-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITELLI",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4590519",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "68OC445030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "7419464",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "041872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George A Cripps, D.D.S.
• Katrina Joyce Cripps
• Katie Crison
• Briana Crist-Burin, LLP
• Cristina Stauffer, LLC
• Keith Thomas Crocker, DO
• Lacey Lee Crocker, P.A.
• Alexandra Crockett
• Barbara Croel, RN
• Amy Ann Croff, PA-C

• Clinical Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.