Individual provider Active NPI

Michelle C. Goldych, D.C.

  • Chiropractor
  • Marcellus, NY
National Provider Identifier
1366614398
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
XO11536 Issued in NY
Practice address
6 W Main St
Marcellus, NY 13108-1118
Phone
(315) 288-3633
NPI assigned
Mar 31, 2008
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X XO11536 NY Primary

Addresses

Primary practice location

6 W Main St
Marcellus, NY 13108-1118

Mailing address

6 W Main St
Marcellus, NY 13108-1118
Phone (315) 288-3633

Other practice location 1

8212 Brewerton Rd
Cicero, NY 13039-6400
Phone (315) 699-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000781 NY Practitioner - Chiropractic 8224109731 Reassigns benefits to 1 organization
Practice locations: Marcellus, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 W Main St
Marcellus, NY 13108-1118
Phone (315) 288-3633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XO11536NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Atlas Chiropractic Services, P.C. Chiropractor Past Accepting new patients
Atlas Chiropractic of Syracuse Chiropractor Past Accepting new patients

Locations

24 E Main St
Marcellus, NY 13108
Phone (315) 288-3633

6 W Main St
Marcellus, NY 13108
Phone (315) 288-3633

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1366614398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081118",
            "telephone_number": "315-288-3633",
            "fax_number": "315-699-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081118",
            "telephone_number": "315-288-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8212 Brewerton Rd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130396400",
            "country_code": "US",
            "telephone_number": "315-699-1441",
            "fax_number": "315-699-2596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDYCH",
        "first_name": "MICHELLE",
        "middle_name": "C.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO11536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcellus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.