Michelle Elizabeth Chisum

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

3043 Macarthur Dr
Marina, CA 93933-4763

Phone

(831) 649-4522

NPI assigned

Jun 13, 2025

Last updated

Oct 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Interim, Inc.

  dba Hope Housing

  • Community/Behavioral Health Agency
  • Marina, CA
  • NPI 1679320675
  NPD

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1124914502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 MACARTHUR DR",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334763",
            "telephone_number": "831-649-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 MACARTHUR DR",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334763",
            "telephone_number": "831-649-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISUM",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisselle Chavez
• Sana Chawla, DDS
• Weiwei Chen, BCBA
• Marjorie Danielle Chiala, BCBA
• Mary Chick
• Mingyi Cho
• Susan Christilaw, RN
• CHS Counseling Center
• Helen Cifuentes
• Amber S Clayton, BCBA

• Day Training/Habilitation Specialist in Marina, CA
• Providers in Marina, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.