Organization Active NPI

Michelle Carlino

  • Physical Disabilities Residential Treatment Facility
  • Collingswood, NJ
National Provider Identifier
1285033589
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
LR35594 Issued in NJ
Legal business name
MICHELLE CARLINO
Practice address
122 Woodlawn Ave
Collingswood, NJ 08108-1537
Phone
(609) 413-6656
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Ms. Michelle P Carlino, B.A./CMA.
Title
Therapist
Phone
(609) 413-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X LR35594 NJ Primary

Addresses

Primary practice location

122 Woodlawn Ave
Collingswood, NJ 08108-1537

Mailing address

122 Woodlawn Ave
Collingswood, NJ 08108-1537
Phone (609) 413-6656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1285033589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WOODLAWN AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081537",
            "telephone_number": "609-413-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WOODLAWN AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081537",
            "telephone_number": "609-413-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE CARLINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLINO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "609-413-6656",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A./CMA."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "LR35594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.