Ernesto Michelucci, PH.D.
NPI 1609814524ActiveIndividual· Psychologist, Clinical· Fairport, NY
Psychologist, Clinical (PH.D.) in Fairport, New York, trained at University of Toledo College of Medicine (class of 1992). Medicare paid $8,612 for services to 12 patients in 2024.
Overview
| NPI | 1609814524 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 3, 2006 |
| Last updated in NPPES | Apr 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 012014 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 85 across 6 procedure codes |
| Paid by Medicare | $8,612 |
Education and affiliations
| Medical school | University of Toledo College of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Clinical Psychologist |
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