Dr. Michael Caiazzo Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. MICHAEL CAIAZZO PSYCHOLOGICAL SERVICES, INC.

Practice address

907 Wick LN
Blue Bell, PA 19422-3337

Phone

(610) 718-6919

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Patrick Caiazzo, PSY.D.NPI 1740528694

Title

Ceo

Phone

(610) 718-6919

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Patrick Caiazzo, PSY.D.

  • Clinical Neuropsychologist
  • Hershey, PA
  • NPI 1740528694
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1891525887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WICK LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223337",
            "telephone_number": "610-718-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 WICK LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223337",
            "telephone_number": "610-718-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Glacier Hwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018097",
            "country_code": "US",
            "telephone_number": "610-718-6919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 College Rd Ste 8B2",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997011739",
            "country_code": "US",
            "telephone_number": "610-718-6919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4141 B St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995035940",
            "country_code": "US",
            "telephone_number": "610-718-6919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MICHAEL CAIAZZO PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "CAIAZZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-718-6919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.