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

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CS Medical Associates, PCGroup PAC ID 9335401454, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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.

• CS Medical Associates, P.C.

  dba Victory Recovery Partners

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

  Single Specialty

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

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

  dba Victory Recovery Partners

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

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

{
    "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

• Psychiatric/Mental Health Nurse Practitioner in Hempstead, NY
• Providers in Hempstead, NY by specialty
• 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.