DR. MICHAEL J CAPONI (PSY.D, MA) – Clinical Psychologist, NPI 1477703742
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,347 CLINICAL PSYCHOLOGIST in TX
Provider Addresses for DR. MICHAEL J CAPONI (PSY.D, MA)
527 TUSKEGEE AIRMAN BLVD
BUILDING 500
SHEPPARD AFB, TX 76311
Phone: (940) 676-6075
Type: Mailing
4323, Boren Avenue, Wichita Falls, Wichita County, Texas, 76308, United States
WICHITA FALLS, TX 763082606
Phone: (847) 922-0078
Fax: (940) 228-7315
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230628002235 | I | Clinical Psychologist | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | GA | |
| - | GA | |
| Mental Health Counselor | GA | |
| Clinical Psychologist | WA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | GA | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | GA |
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