Individual provider Active NPI

Michael Todd Calabria, LMHC

  • Mental Health Counselor
  • Tamarac, FL
National Provider Identifier
1245961010
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8717 Issued in FL
Practice address
7491 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4966
Phone
(954) 746-5667
Fax
(954) 746-6387
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8717 FL Primary

Addresses

Primary practice location

7491 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4966

Mailing address

4400 Hillcrest Dr Apt 205
Hollywood, FL 33021-7931
Phone (954) 993-8322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael@stonybrookcounseling.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH8717FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1245961010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 HILLCREST DR APT 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217931",
            "telephone_number": "954-993-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD STE 308",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194966",
            "telephone_number": "954-746-5667",
            "fax_number": "954-746-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRIA",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@stonybrookcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Secure Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7491 W Oakland Park Blvd Ste 308",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333194966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.