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DR. GEOFFREY MICHAELSON PH.D. NPI 1689881062


NPI Information

NPI: 1689881062
Provider Name: DR. GEOFFREY MICHAELSON, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2110 GALLOWS RD # A
SUITE 100
VIENNA, VA
ZIP 22182
Phone: (703) 883-1770
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DR. Geoffrey Michaelson, PH.D. is a psychologist in Vienna, VA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Geoffrey Michaelson, PH.D. NPI is 1689881062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2110 GALLOWS RD # A
SUITE 100
VIENNA, VA
ZIP 22182-962
Phone: (703) 883-1770

The NPI 1689881062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist0810001350VIRGINIAYes
2103T00000XPsychologistPSY1574DISTRICT OF COLUMBIAX
3103TB0200XPsychologistCognitive & Behavioral0810001350VIRGINIAX
4103TB0200XPsychologistCognitive & BehavioralPSY1574DISTRICT OF COLUMBIAX
5103TC0700XPsychologistClinical0810001350VIRGINIAX
6103TC0700XPsychologistClinicalPSY1574DISTRICT OF COLUMBIAX
7103TC2200XPsychologistClinical Child & Adolescent0810001350VIRGINIAX
8103TC2200XPsychologistClinical Child & AdolescentPSY1574DISTRICT OF COLUMBIAX
9103TF0000XPsychologistFamily0810001350VIRGINIAX
10103TF0000XPsychologistFamilyPSY1574DISTRICT OF COLUMBIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1602893MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.