Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295985414 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Joseph Fitzgerald , PhD

Psychologist • Jefferson, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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

Registration / Start Date September 24, 2008
NPI Deactivation Date November 13, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Fitzgerald, PhD was a registered Psychologist practicing in Jefferson, WI. Throughout an active medical career spanning 11 years, Dr. Fitzgerald provided care at the practice location at 1038 MEADOWOOD LANE until profile deactivation on 2019-11-13.

Practice Location & Contact Primary Location

Practice Address

1038 Meadowood Lane

Jefferson, WI 535491910

Telephone 9206743535
Fax 9206743535

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Jefferson, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Jefferson, WI (1000 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 1865057

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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 November 13, 2019

Record deactivated on November 13, 2019

NPI Profile Active September 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2008

Registered at 1038 MEADOWOOD LANE, JEFFERSON, WI 535491910 (Tel: 9206743535)

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Updated Business Mailing Address September 24, 2008

Registered at 1038 MEADOWOOD LANE, JEFFERSON, WI 535491910 (Tel: 9206743535)

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Provider Name / Credentials Updated September 24, 2008

Recorded as MICHAEL FITZGERALD, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2008

Psychologist (License #1865057 in WI)

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Initial NPI Registration & Enumeration September 24, 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: 1295985414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2008
Last Update: September 24, 2008
Deactivation Date: November 13, 2019

Mailing Address

1038 Meadowood Lane

Jefferson, WI 535491910

Phone: 9206743535

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.