Michael David Farjellah, PHD

Clinical Psychologist · Lago Vista, TX

Individual Active NPI

NPI number 1447400478

Practice location

8103 Purple Aster Pass
Lago Vista, TX 78645-2294

Phone: (210) 844-7028

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NPI record

NPI: 1447400478
Entity type: Individual (Type 1)
Enumeration date: September 26, 2008
Last updated: October 7, 2024
Certified: October 7, 2024
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Clinical Psychologist Primary	`103TC0700X`	40363	TX
Clinical Psychologist	`103TC0700X`	247249	KY

About Dr. Farjellah

Michael David Farjellah, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 8103 Purple Aster Pass, Lago Vista, TX 78645-2294. The NPI number 1447400478 was assigned on September 26, 2008 and the record was last updated on October 7, 2024.

Dr. Farjellah lists 2 licenses in the registry: #40363 (TX) for Clinical Psychologist; #247249 (KY) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael David Farjellah, PHD?

The NPI number is 1447400478.

What is the phone number of Dr. Farjellah?

The phone number listed for the practice location is (210) 844-7028.

Where is Dr. Farjellah located?

8103 Purple Aster Pass, Lago Vista, TX 78645-2294.

What is the taxonomy code for Dr. Farjellah?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.