Micaela Gutlove, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

407111 Issued in NY

Practice address

250 Fulton Ave
Hempstead, NY 11550-3917

Phone

(516) 566-0658

NPI assigned

Jun 2, 2025

Sex

Female

Sole proprietor

Yes

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.

• CS Medical Associates, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Farmingville, NY
  • NPI 1992210231

  NY, Single Specialty

  Medicare reassignment Care Compare group NPD
• CS Medical Associates, P.C.

  • Counselor
  • Amityville, NY
  • NPI 1790653236
  NPD
• CS Medical Associates, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverhead, NY
  • NPI 1043873417
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CS Medical Associates, PC 63 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgutlove@victoryrecovery.medentdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2025.

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497648133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FULTON AVE STE 607",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503917",
            "telephone_number": "516-566-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTLOVE",
        "first_name": "MICAELA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalia Guiracocha
• Sharon Gurino, RN
• John Guthman
• Alexandra Gutierrez, MA, CASAC-T
• Gabrielle Gutierrez
• Paola Vanessa Guzman, MSW-INTERN
• Aretha Eysia Hamlin, NP
• Brenda Ann Hampton, REGISTERED NURSE
• Genna Hanan
• Hager Hanon, RPH

• All providers in Hempstead, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.