National Provider Identifier: Health Service Psychologist Code

CMS has extended the deadline for the public release of NPI information to August 1, 2007.  However, they warn that providers will need to have their NPI information updated prior to the August 1 date in order to be sure that the updated information is included in the August 1 release. 

Practitioners can check the accuracy of the NPI information currently stored under their name by going online to https://nppes.cms.hhs.gov/ and clicking on "National Provider Identifier." If you applied for your NPI electronically, you would then click on "Login" to review and update your information as necessary, using the user ID and password you created when you applied. If you applied for your NPI using a paper form, you would begin by clicking on "Create Login to View or Update Your NPI Data."

Psychologists who bill Medicare must file for a national provider identifier (NPI). That application requires the identification of a profession (either Psychologist or Clinical Neuropsychologist). Then we encourage you to choose optional practice sub-areas. Our recommendation is to choose the practice sub-area code of health service psychologist along with any other codes appropriate to your education, training and credentialing. To view the definition of a health service psychologist used by Medicare, go to http://codelists.wpc-edi.com/mambo_properties_2.asp?IndexID=7268. There is no limit on the number of subcodes you can list so choosing to identify yourself as a health service provider in psychology does not mean that you cannot use other codes. The following is a list of possible codes:

Behavioral Health and Social Service Providers

• Clinical Neuropsychologist - 103G00000X
• Psychologist - 103T00000X
  • Addiction (Substance Use Disorder) - 103TA0400X
  • Adult Development & Aging - 103TA0700X
  • Clinical - 103TC0700X
  • Clinical Child & Adolescent - 103TC2200X
  • Cognitive & Behavioral - 103TB0200X
  • Counseling - 103TC1900X
  • Educational - 103TE1000X
  • Exercise & Sports - 103TE1100X
  • Family - 103TF0000X
  • Forensic - 103TF0200X
  • Group Psychotherapy - 103TP2701X
  • Health - 103TH0004X
  • Health Service - 103TH0100X
  • Men & Masculinity - 103TM1700X
  • Mental Retardation & Developmental Disabilities - 103TM1800X
  • Prescribing (Medical) - 103TP0016X
  • Psychoanalysis - 103TP0814X
  • Psychotherapy - 103TP2700X
  • Rehabilitation - 103TR0400X
  • School - 103TS0200X
  • Women - 103TW0100X

You can also view this list on the web at http://codelists.wpc-edi.com/mambo_taxonomy_2.asp

The NPI application can be completed online at https://nppes.cms.hhs.gov/NPPES/StaticForward.do?forward=static.npistart.
Paper copies of the application can be downloaded from www.cms.hhs.gov/cmsforms.

To complete the NPI application, psychologists must provide:

• Name.
• Date of birth.
• Country of birth.
• State of birth—if birth was in the United States.
• Gender.
• Social security number or other proof of identity.
• Mailing address.
• Practice location and telephone number.
• State license information—required for certain taxonomies only.
• Business contact name
• Contact phone number and e-mail.