Dr. Michelle Channing PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6745 Issued in FL

Legal business name

DR. MICHELLE CHANNING PA

Practice address

2741 Executive Park Dr
Suite 1
Weston, FL 33331-3641

Phone

(954) 385-6750

Fax

(954) 385-6757

NPI assigned

Oct 17, 2006

Last updated

Sep 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Channing, PSY.D.NPI 1821191420

Title

President

Phone

(954) 385-6750

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Renee Channing, PSYD

  • Psychologist
  • Weston, FL
  • NPI 1821191420

  Clinical

  Medicare reassignment NPD Authorized official
• Elizabeth M Andress, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
  • NPI 1649330341
  NPD
• Sigalit Ashwal, LMHC

  • Mental Health Counselor
  • Weston, FL
  • NPI 1972282788
  NPD
• Brian R. Becraft, PSY.D.

  • Clinical Psychologist
  • Hollywood, FL
  • NPI 1689122160
  NPD
• Melissa Ann Kwavnick, PH.D.

  • Psychologist
  • Weston, FL
  • NPI 1699445957
  NPD
• Sheilah Abadines Ledesma, LCSW

  • Clinical Social Worker
  • Weston, FL
  • NPI 1831589209
  NPD
• Mary Miranda-Tourino, LCSW

  • Clinical Social Worker
  • Plantation, FL
  • NPI 1750817292
  NPD
• Lori Prince, LCSW

  • Clinical Social Worker
  • South Pasadena, FL
  • NPI 1750620498
  NPD
• Lisa Rabinowitz, PSYD

  • Psychologist
  • Weston, FL
  • NPI 1740598366
  NPD
• Megan Rotondo, PSY.D.

  • Clinical Psychologist
  • Parkland, FL
  • NPI 1245882463
  NPD
• George Roy Shepeard III, PSY.D.

  • Psychologist
  • Weston, FL
  • NPI 1679815633
  NPD
• Mark Christopher Smith, PSY.D.

  • Psychologist
  • Pembroke Pines, FL
  • NPI 1114150364
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1417037102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 EXECUTIVE PARK DR",
            "address_2": "SUITE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313641",
            "telephone_number": "954-385-6750",
            "fax_number": "954-385-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 EXECUTIVE PARK DR",
            "address_2": "SUITE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313641",
            "telephone_number": "954-385-6750",
            "fax_number": "954-385-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHELLE CHANNING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CHANNING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-385-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "Q0486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juanita Dowe, APRN
• Justin Dowlatshahi, M.D.
• Kayla Ann Therrien Downey, MS, RMFTI
• Dr Florence G. Martell
• Dr. Ibis Brito and Associates P.a.
• Dr. Richard Seely M.D
• Dr. Talkitout LLC
• Dream Weaver Therapy LLC
• Ian Ross Drexler, M.D., M.B.A.
• Lori Ann Drummond, LORI DRUMMOND, RD LD

• Clinical Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.

Verify at the official NPI Registry.