Active NPI
Cornerstone Family Chiropractic PLLC
- Chiropractor
- Marcellus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CORNERSTONE FAMILY CHIROPRACTIC PLLC
- Practice address
- 6 W Main St
Marcellus, NY 13108-1118 - Phone
- (315) 288-3633
- Fax
- (315) 748-5372
- NPI assigned
- Jan 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle C Goldych, DC
- Title
- Sole Member / Owner
- Phone
- (315) 288-3633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220602001568 | NY | Part B Supplier - Clinic/Group Practice | 0042698094 |
Receives reassigned benefits from 1 practitioner Practice locations: Marcellus, NY |
National Provider Directory
National Provider DirectoryLocations
6 W Main St
Marcellus, NY 13108
Phone (315) 288-3633
24 E Main St
Marcellus, NY 13108
Phone (315) 288-3633
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Marcellus, NY
- NPI 1366614398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1376016576",
"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": "315-748-5372"
},
{
"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",
"fax_number": "315-748-5372"
}
],
"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": {
"organization_name": "CORNERSTONE FAMILY CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-10",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "GOLDYCH",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SOLE MEMBER / OWNER",
"authorized_official_telephone_number": "315-288-3633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.