Michael Patrick Caiazzo, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS017064 Issued in PA

Practice address

405 E Chocolate Ave
2ND Floor
Hershey, PA 17033-1331

Phone

(717) 495-9505

Fax

(717) 533-2601

NPI assigned

Jan 28, 2013

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

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.

Medicare enrollment (NPD)

Enrolled

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.

• Dr. Michael Caiazzo Psychological Services, Inc.

  • Psychologist
  • Blue Bell, PA
  • NPI 1891525887
  NPD Authorized official
• Springfield Psychological PC

  dba Associates of Springfield Psychological

  • Mental Health Counselor
  • Springfield, PA
  • NPI 1295705317
  NPD

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1740528694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E CHOCOLATE AVE",
            "address_2": "2ND FLOOR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331331",
            "telephone_number": "717-495-9505",
            "fax_number": "717-533-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E CHOCOLATE AVE",
            "address_2": "2ND FLOOR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331331",
            "telephone_number": "717-495-9505",
            "fax_number": "717-533-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIAZZO",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Byler, MD
• Woo Yul Byun, MD
• C & S Kray, Inc. (Hershey Pharmacy & Gift Shop)
• Janet R Cady, CRNP
• Amanda Cai, M.D.
• Jarrett Cain
• Allison E Calderon, CRNP
• Chad Caldwell, MD
• Susan Lynn Calhoun, PHD
• Christine Callahan, MD

• Clinical Neuropsychologist in Hershey, PA
• Providers in Hershey, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.