Active NPI
Gay Michaeles, RN,MS,CS.
- Psychiatric/Mental Health Registered Nurse
- Northborough, MA
National Provider Identifier
1689886988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 1577744
- Practice address
- 10 Church St
Suite3
Northborough, MA 01532-3805 - Phone
- (150) 839-3575
- Fax
- (150) 839-3611
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1577744 | MA | Primary |
Addresses
Primary practice location
10 Church St
Suite3
Northborough, MA 01532-3805
Mailing address
10 Church St
Suite3
Northborough, MA 01532-3805
Phone (150) 839-3575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211206001217 | MA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 4082004031 | Practice locations: Northborough, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 W Main St
Northborough, MA 01532-2132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1577744 | MA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689886988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CHURCH ST",
"address_2": "SUITE3",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015323805",
"telephone_number": "150-839-3575",
"fax_number": "150-839-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CHURCH ST",
"address_2": "SUITE3",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015323805",
"telephone_number": "150-839-3575",
"fax_number": "150-839-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELES",
"first_name": "GAY",
"credential": "RN,MS,CS.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "1577744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, MA
- Bryan Matthew McGuirk, MD
- Michelle Merchant, LMHC
- Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE
- Meta Life Counseling, LLC
- Metrowest Eyecare, LLC
- Michelle a. Goodnow LLC
- Middle Path Counseling & Wellness
- Mikhail Novikov MD PC (Dr. Novikov Wellness and Skin Care)
- Linda D Miller, LICSW
- Robbin W Miller, LMHC
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.
- 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.