Individual provider Active NPI

Michael Pignatiello, PH.D.

  • Psychologist
  • Beavercreek, OH
National Provider Identifier
1902268402
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4369 Issued in OH
Practice address
2619 Commons Blvd
Beavercreek, OH 45431-3817
Phone
(937) 280-4970
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4369 OH Primary

Addresses

Primary practice location

2619 Commons Blvd
Beavercreek, OH 45431-3817

Mailing address

PO Box 340453
Dayton, OH 45434-0453
Phone (937) 280-4970

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160608001484 OH Practitioner - Clinical Psychologist 8426348186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Management LLCGroup PAC ID 2769654193, 5 clinicians

Practice addresses (Care Compare)

2619 Commons Blvd
Suite 130
Beavercreek, OH 45431-3840
Phone (937) 280-4970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Management LLC CurrentSince Jun 1, 2020 Accepting new patients
Anesthesia and Pain Management LLC PastSince Jun 26, 2022 Accepting new patients
Iris a. Pfeffer&Associates Past Accepting new patients

Locations

2619 Commons Blvd
Beavercreek, OH 45431
Phone (937) 270-4970

2619 Commons Blvd
Ste 130
Beavercreek, OH 45431
Phone (937) 280-4541

8658 N Main St
Dayton, OH 45415
Phone (937) 280-4970

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1902268402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340453",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454340453",
            "telephone_number": "937-280-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 COMMONS BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313817",
            "telephone_number": "937-280-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNATIELLO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.