Pamula K Michelson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4099 Issued in OH

Practice address

96 Graham Rd
Reserve Psychological Consultants Inc Ste a
Cuyahoga Falls, OH 44223

Phone

(330) 929-1326

Fax

(330) 929-1327

NPI assigned

Oct 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Reserve Psychological Consultants Inc

  • Professional Counselor
  • Cuyahoga Falls, OH
  • NPI 1255519187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1851489165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GRAHAM RD",
            "address_2": "RESERVE PSYCHOLOGICAL CONSULTANTS INC STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GRAHAM RD",
            "address_2": "RESERVE PSYCHOLOGICAL CONSULTANTS INC STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "PAMULA",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0871472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Merten, RN
• Messenger & Associates LLC
• Jamie Messenger, MSW, LSW, LICDC
• Moemen Metwally, DDS
• Kyle Michael
• Colette Mickle
• Midwest Eye Consultants Ohio, Inc (Davis Eye Center)
• Midwest Eye Consultants Ohio, Inc (The Center for Surgery)
• Midwest Home Care LTD
• Midwest Home Care LTD

• Psychologist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.