Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael David Farjellah, PHD

Individual provider Clinical Psychologist · NPI 1447400478

Michael David Farjellah, PHD is a Clinical Psychologist in Lago Vista, Texas. Qualified in 2011, 15 years ago. Practices with Faithful Therapy Tx Corporation, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Texas.

Years since qualifying
15
Licensed in
KY, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8103 Purple Aster Pass
Lago Vista, TX 78645-2294
Phone: (210) 844-7028
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 40363 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 247249 (KY)

Record details

NPI number1447400478
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 26, 2008
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Faithful Therapy Tx Corporation — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Faithful Therapy Tx Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 17 clinicians in the practice; 9 are shown here.