Individual provider Active NPI

Michelle Marie Estelle, PH.D

  • Psychologist
  • Spokane, WA
National Provider Identifier
1356580765
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY1950 Issued in WA
Practice address
1525 W 8TH Ave
Spokane, WA 99204-3414
Phone
(509) 455-8886
Fax
(509) 455-8887
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY1950 WA Primary

Addresses

Primary practice location

1525 W 8TH Ave
Spokane, WA 99204-3414

Mailing address

1525 W 8TH Ave
Spokane, WA 99204-3414
Phone (509) 455-8886

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY1950WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychologist, PS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1356580765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043414",
            "telephone_number": "509-455-8886",
            "fax_number": "509-455-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043414",
            "telephone_number": "509-455-8886",
            "fax_number": "509-455-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.