Diana Michalczuk, PSYD
NPI 1760631774ActiveIndividual· Psychologist· Bennington, VT
Psychologist (PSYD) with Memory Clinic Inc, practicing in Bennington, Vermont. Medicare paid $28,278 for services to 82 patients in 2024.
Overview
| NPI | 1760631774 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Sep 15, 2008 |
| Last updated in NPPES | Jun 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 048.0086156 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 503 across 6 procedure codes |
| Paid by Medicare | $28,278 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Memory Clinic IncBennington, VT · 5 clinicians
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