Michelle Ann Medlik

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0001914 Issued in OH

Practice address

13377 Smith Rd
Middleburg Heights, OH 44130-7810

Phone

(440) 340-5558

NPI assigned

Sep 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: michelle@evolve-bh.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1023622008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SPOKANE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093827",
            "telephone_number": "216-534-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13377 SMITH RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441307810",
            "telephone_number": "440-340-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIK",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001914",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle@evolve-bh.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13377 Smith Rd",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441307810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maggie McGuire
• Sally McKeever
• Laurie A. McKernan, SLP
• Marie McLennan, OTR/C
• Michael Cornelius McManus Jr.
• Kalie Elizabeth Meeker, DPT
• Chelsea Kalynn Meng, PSY.D.
• Metrohealth System
• Michael Yerukhim, MD LLC
• Middleburg Early Education Center

• Peer Specialist in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.