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Deactivated NPI 1760651913 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Joseph Ezzo , EdD

Clinical Neuropsychologist • Lansing, MI

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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 Ezzo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2008
NPI Deactivation Date March 20, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ezzo, EdD was a registered Clinical Neuropsychologist practicing in Lansing, MI. Throughout an active medical career spanning 9 years, Dr. Ezzo provided care at the practice location at 3960 PATIENT CARE WAY until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

3960 Patient Care Way
Suite 1017

Lansing, MI 489114275

Telephone 5173944715
Fax 5173941423
Associated Practice Facility / Clinic
🏢 Floyd G Goodman Md Pc Facility NPI 1285692723

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Neuropsychologist in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Lansing, MI (145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Clinical Neuropsychologist Primary Specialty

NUCC Taxonomy Code: 103G00000X

State License MI 6301005670

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Richard Ferro , DO

Pain Medicine - Interventional Pain Medicine

NPI 1528008372

Doctor of Osteopathic Medicine (D.O.)

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 March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active October 26, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2012

Registered at 3960 PATIENT CARE WAY, SUITE 1017, LANSING, MI 489114275 (Tel: 5173944715)

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Updated Business Mailing Address October 26, 2012

Registered at 3960 PATIENT CARE WAY, SUITE 117, LANSING, MI 489114275 (Tel: 5173944715)

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Provider Name / Credentials Updated October 26, 2012

Recorded as MICHAEL EZZO, ED.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2012

Clinical Neuropsychologist (License #6301005670 in MI)

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Initial NPI Registration & Enumeration February 21, 2008

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: 1760651913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2008
Last Update: October 26, 2012
Deactivation Date: March 20, 2017

Mailing Address

3960 Patient Care Way, Suite 117

Lansing, MI 489114275

Phone: 5173944715

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.