Andrew Michael, MD

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

106337 Issued in NY

Practice address

93 Main St
West Sayville, NY 11796-1832

Phone

(631) 312-3008

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1881325470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FEATHERBED LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692410",
            "telephone_number": "631-912-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961832",
            "telephone_number": "631-312-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "106337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrew.Michael@nyu.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "93 Main St",
            "city": "West Sayville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117961832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian Kenneth Lent
• Linda Girimonte, LMHC, P.C.
• James Mammone, LMSW
• Stephen F Mast, L.M.S.W.
• Wendy Marie Mercer, LMHC
• Mind Body Mental Health Counseling PPLC
• Kellie Moro, LPN
• Rebecca Nazaro, PHARM D
• Denise Marie O'Brien, M.S. SP. ED.
• Anto Ayinikal Paul, RN

• Prescribing (Medical) Psychologist in West Sayville, NY
• Providers in West Sayville, NY by specialty
• Prescribing (Medical) Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.