Individual provider Active NPI

Michele Ann Culleton, MSW

  • Clinical Social Worker
  • Cortlandt Manor, NY
National Provider Identifier
1881810083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO017155 Issued in NY
Practice address
12 Winthrop Dr
Cortlandt Manor, NY 10567-1417
Phone
(914) 528-8630
NPI assigned
Apr 17, 2007
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
Clinical Social Worker 1041C0700X RO017155 NY Primary

Addresses

Primary practice location

12 Winthrop Dr
Cortlandt Manor, NY 10567-1417

Mailing address

12 Winthrop Dr
Cortlandt Manor, NY 10567-1417
Phone (914) 528-8630

Other identifiers 2

IdentifierTypeStateIssuer
02067141OtherNYTBI
02040471MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000001 NY Practitioner - Clinical Social Worker 3375794621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1940 Commerce St
Suite 309
Yorktown Heights, NY 10598-4449
Phone (914) 245-0437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO017155NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince Dec 1, 1994 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

667 Stoneleigh Ave
#13
Carmel, NY 10512

1940 Commerce St
Ste 309
Yorktown Heights, NY 10598
Phone (844) 468-5391

1880 Commerce St
Yorktown Hts, NY 10598
Phone (914) 245-0437

Interoperability endpoints

  • Direct secure messaging: cpa.micheleculleton@142175.advancedmd-direct.com

Organizations & group practices 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881810083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WINTHROP DR",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105671417",
            "telephone_number": "914-528-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WINTHROP DR",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105671417",
            "telephone_number": "914-528-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLETON",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO017155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBI",
            "identifier": "02067141",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02040471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.