Michelle P Connors

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00249500 Issued in NJ

Practice address

508 Straight St
Paterson, NJ 07503-3044

Phone

(973) 345-6000

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Michelle P Boyce-Cannariato Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1609592070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 RINGWOOD AVE",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651408",
            "telephone_number": "732-814-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 STRAIGHT ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033044",
            "telephone_number": "973-345-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00343900",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00249500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BOYCE-CANNARIATO",
            "middle_name": "P",
            "prefix": "MISS",
            "credential": "LAC, LCADC, CCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Comprehensive Rehabilitation Center,LLC
• Comprehensive Rehabilitation Center,P.C.
• Confident Care Corp
• Kathleen Ann Connolly
• Mark William Connolly, MD
• Michele Consoli, CSW
• Joseph Anthony Conte, LCADC, CSW
• Patrick Conte, MD
• Cynthia Cookson, APN
• Alan Robert Cooper, O.D.

• Addiction (Substance Use Disorder) Counselor in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.