Miguel Carvallo, QMHS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

6662 State Route 43
Kent, OH 44240-6137

Phone

(330) 956-7182

NPI assigned

Apr 30, 2018

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1245728898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6662 STATE ROUTE 43",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406137",
            "telephone_number": "330-956-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6662 STATE ROUTE 43",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406137",
            "telephone_number": "330-956-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALLO",
        "first_name": "MIGUEL",
        "credential": "QMHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Carleton, LISW
• Denise Lynn Carlson
• Charisma Carnes
• Bethany Sue Carr
• Alexa Carrero
• Nichole Marie Catalano-Miller, CPT, CPHWC, CNC
• Cathy C. Kane, PH.D
• Kelley T Cerroni, M.D.
• Jenna Renae Cesta, MSN, APRN, AGPCNP-C
• Patricia Chafin, MA, CCC/SP

• Community/Behavioral Health Agency in Kent, OH
• Providers in Kent, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.