Michelle Watsula, LMHC, ED.M., M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18005506 Issued in NY

Practice address

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990

Phone

(347) 803-5545

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1215482187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 AVENUE OF THE AMERICAS",
            "address_2": "CREDENTIALING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274990",
            "telephone_number": "347-803-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSULA",
        "first_name": "MICHELLE",
        "credential": "LMHC, ED.M., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Thomas Watson, D.P.T.
• Robert I. Watson Jr., PH.D.
• Shakiera Watson, LMSW
• Sheri Watson, PMHNP
• Toni Bronwyn Watson, L.A.C
• Megan Watt, LMFT
• Patrick Anthony Watt
• Julia Wattacheril, MD, MPH
• Debra Joy Wattenberg, M.D.
• Carrie Watters

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.