John Michael Michna, PHD, LMHC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

022114 Issued in NY

Practice address

2904 201St St
Bayside, NY 11360-2323

Phone

(914) 471-6832

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adult Care Psychology Services, PLLC

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1609935444
  Medicare reassignment NPD
• Integrity Social Work Services LLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1972715456
  Medicare reassignment
• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1043309537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 201ST ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602323",
            "telephone_number": "914-471-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 201ST ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602323",
            "telephone_number": "914-471-6832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 W 56th St Ste 1804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193878",
            "country_code": "US",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHNA",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4901",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022114",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "022114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Madison Micallef
• Michael Afshari MD, PC
• Michael J Banome
• Michael J. Napoli, M.D. PC
• Courtney Michielsen, LMSW
• Christopher Mihalios, DDS
• Rhonda Miller
• Holly Marie Mills, R.D., CDN
• Milton P Merritt DDS PC
• Mindspace Mental Health Counseling PLLC

• Counseling Psychologist in Bayside, NY
• Providers in Bayside, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.