Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ernesto Michelucci, PHD

Individual provider Clinical Psychologist · NPI 1609814524

Dr. Ernesto Michelucci, PHD is a Clinical Psychologist in Fairport, New York. Graduated from University of Toledo College of Medicine in 1992, 34 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Trained at
University of Toledo College of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

620 Crosskeys Ofc Park
Fairport, NY 14450-3508
Phone: (585) 223-5920
Fax: (585) 223-5727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 012014 (NY)

Record details

NPI number1609814524
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESApril 20, 2012
Mailing address620 Crosskeys Office Park, Fairport, NY 14450-3508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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