Michelle C. Accardi-Ravid, PH.D.
Individual provider Active NPI Clinical Psychologist · Seattle, WA
NPI 1689094294 · NPPES record last updated Oct 16, 2021
Key facts
- NPI
- 1689094294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 12149019-2501 (UT)
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2420 - Phone
- (206) 744-3000
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Utah Behavioral Health Services
Practice addresses (Care Compare)
30 N 1900
Suite 1B620
Salt Lake City, UT 84132-0002
Phone (801) 213-3900
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.22 of 100
- Quality
- 83.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210318001495 | UT | Practitioner - Clinical Psychologist | 9234417643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Behavioral Health Services | Current |
Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current |
Accepting new patients |
Locations
30 N 1900 E
Ste 1B620
Salt Lake City, UT 84132
Phone (801) 581-6228
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- maccardiravid495830@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | PY60680523 | WA | |
| Clinical Psychologist | 103TC0700X | 12149019-2501 | UT | Yes |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2420
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689094294 | Medicaid | WA |
Other names
- Michelle C. Accardi
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maccardiravid495830@direct.med.utah.edu | Direct | University of Utah |
Other providers in Seattle, WA
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- Stephanie Abutin
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- Access Case Management LLC
- McKenna Acciani
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All providers in Seattle, WA · Clinical Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.