Individual provider Active NPI

Gay Michaeles, RN,MS,CS.

  • Psychiatric/Mental Health Registered Nurse
  • Northborough, MA
National Provider Identifier
1689886988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
1577744 Issued in MA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1577744MAMDPsychiatric/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

Sources for this page

Verify at the official NPI Registry.