Active NPI
Michelle R Devoll
- Counselor
- Hayward, CA
National Provider Identifier
1386770089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2300 Panama St
Hayward, CA 94545-4662 - Phone
- (510) 293-8539
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2300 Panama St
Hayward, CA 94545-4662
Mailing address
33215 Mission Blvd Apt B105
Union City, CA 94587-1451
Phone (510) 475-6220
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386770089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33215 MISSION BLVD APT B105",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871451",
"telephone_number": "510-475-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PANAMA ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454662",
"telephone_number": "510-293-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVOLL",
"first_name": "MICHELLE",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.