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Deactivated NPI 1194889907 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Barry Lipscomb , PhD

Psychologist - Clinical • Bradenton, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Lipscomb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2006
NPI Deactivation Date October 06, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lipscomb, PhD was a registered Psychologist - Clinical practicing in Bradenton, FL. Throughout an active medical career spanning 17 years, Dr. Lipscomb provided care at the practice location at 12505 CARA CARA LOOP until profile deactivation on 2023-10-06.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

12505 Cara Cara Loop

Bradenton, FL 342122949

Telephone 9414488528

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Bradenton, FL (3084 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
121 24 $203.00 $69.03

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License FL PY 6986

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 06, 2023

Record deactivated on October 06, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12505 CARA CARA LOOP, BRADENTON, FL 342122949 (Tel: 9414488528)

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Updated Business Mailing Address July 08, 2007

Registered at 12505 CARA CARA LOOP, BRADENTON, FL 342122949 (Tel: 9414488528)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL LIPSCOMB, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PY 6986 in FL)

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Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194889907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: July 08, 2007
Deactivation Date: October 06, 2023

Mailing Address

12505 Cara Cara Loop

Bradenton, FL 342122949

Phone: 9414488528

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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