Active NPI
M. Elizabeth Michaels, MD
- Psychiatry Physician
- Rochester, NY
National Provider Identifier
1124034186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 236316
- Practice address
- 300 Crittenden Blvd
Box Psych
Rochester, NY 14642-0001 - Phone
- (585) 275-4501
- Fax
- (585) 273-1130
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 236316 | NY | Primary |
Addresses
Primary practice location
300 Crittenden Blvd
Box Psych
Rochester, NY 14642-0001
Mailing address
300 Crittenden Blvd
Box Psych
Rochester, NY 14642-0001
Phone (585) 275-4501
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010236316 | Other | BLUE CHOICE | |
| P020236316 | Other | ROCHESTER BLUE SHIELD | |
| RA7833 | Other | NY | RAILROAD MEDICARE |
| P010236316 | Other | NY | BLUE CHOICE |
| 02685752 | Medicaid | NY | |
| 176437EU | Other | PREFERRED CARE | |
| 7324099 | Other | AETNA | |
| 176437EU | Other | NY | PREFERRED CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1124034186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CRITTENDEN BLVD",
"address_2": "BOX PSYCH",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-4501",
"fax_number": "585-273-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CRITTENDEN BLVD",
"address_2": "BOX PSYCH",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-4501",
"fax_number": "585-273-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "M.",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "236316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010236316",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCHESTER BLUE SHIELD",
"identifier": "P020236316",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "RA7833",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010236316",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02685752",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "176437EU",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7324099",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICE",
"identifier": "176437EU",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.