Michele's Haven, CDC, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MICHELE'S HAVEN, CDC, INC.

Doing business as

Michele's Haven, CDC, Inc.

Practice address

1270 Beaumont Ave
Baltimore, MD 21239-3418

Phone

(443) 858-1002

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Michele Gilmer, M.S.

Title

Chief Executive Officer

Phone

(443) 858-1002

Specialties & licenses 2

Addresses

Other names 1

• Michele's Haven, CDC, Inc. Doing business as

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1336599257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 BEAUMONT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393418",
            "telephone_number": "443-858-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BEAUMONT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393418",
            "telephone_number": "443-858-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE'S HAVEN, CDC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "GILMER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "443-858-1002",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michele's Haven, CDC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J Michalczyk, MA
• Joseph Michalski
• Diane Lynn Michaud, OTA
• John Michel
• Theresa Marie Michele, M.D.
• Elizabeth Harlan Michelle, MD
• Charles Michelson
• David Michelson, PSYD
• Elaine Gail Michelson, MS,CCC-SLP
• Erin Donnelly Michos, M.D.

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.