Michael Anthony Chiarello, PHD, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400066-1 Issued in NY

Practice address

3771 Nesconset Hwy Ste 212
South Setauket, NY 11720

Phone

(631) 689-5390

Fax

(631) 883-6652

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

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.

• Filomena Buncke, NP Psychiatry PC

  • Cognitive & Behavioral Psychologist
  • Setauket, NY
  • NPI 1851612162
  NPD (past)
• Neurology Associates of Stony Brook, University Faculty Practice Corpo

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1699720888
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1235204678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 212",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201154",
            "telephone_number": "631-689-5390",
            "fax_number": "631-689-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 212",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-689-5390",
            "fax_number": "631-883-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3771 Nesconset Hwy Ste 212",
            "address_purpose": "LOCATION",
            "city": "South Setauket",
            "state": "NY",
            "postal_code": "11720",
            "country_code": "US",
            "telephone_number": "631-689-5390",
            "fax_number": "631-883-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIARELLO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PHD, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400066-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02168454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Lynn Byrne, M.S., SLP
• Phyllis Calabrese, LCSW
• Joseph Catalano
• Shawna Chan, RN
• Allison Chemick, OTR/L
• Jennifer Anne Chin
• Chuks J. Onwu Surgical Services, PLLC
• Kelly A Cinicola, MS CCC SLP
• Alisha Cordero, LMSW
• Cathy Joan Corrie, MS EDU.

• Psychiatric/Mental Health Nurse Practitioner in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.