Individual provider Active NPI

Michelle Lee Colley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Presto, PA
National Provider Identifier
1750133559
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029306 Issued in PA
Practice address
1 Forsythe Rd
Presto, PA 15142-1119
Phone
(740) 968-7006
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 Nurse Practitioner 363LP0808X SP029306 PA Primary

Addresses

Primary practice location

1 Forsythe Rd
Presto, PA 15142-1119

Mailing address

1 Forsythe Rd
Presto, PA 15142-1119
Phone (412) 918-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240617002755 PA Practitioner - Nurse Practitioner 3971046137 Reassigns benefits to 1 organization
I20250211001058 OH Practitioner - Nurse Practitioner 3971046137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurobehavioral Medicine Consultants P C IncGroup PAC ID 2365587318, 6 clinicians

Practice addresses (Care Compare)

1002 Emeryville Rd
Mars, PA 16046-4404
Phone (412) 914-8008

601 Brady Ave
Steubenville, OH 43952-1459
Phone (740) 282-4231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP029306PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Medicine Consultants P C Inc CurrentSince Jun 1, 2024 Accepting new patients
Neurobehavioral Medicine Consultants, PC, Inc. Past Accepting new patients

Locations

4697 Harrison St
Bellaire, OH 43906
Phone (304) 234-2000

601 Brady Ave
Steubenville, OH 43952
Phone (740) 282-4231

1002 Emeryville Rd
Mars, PA 16046
Phone (412) 914-8008

1 Forsythe Rd
Presto, PA 15142
Phone (412) 914-8008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1750133559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORSYTHE RD",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421119",
            "telephone_number": "412-918-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORSYTHE RD",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421119",
            "telephone_number": "740-968-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presto, PA

Sources for this page

Verify at the official NPI Registry.