Active NPI
Michele Ann Culleton, MSW
- Clinical Social Worker
- Cortlandt Manor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO017155
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02067141 | Other | NY | TBI |
| 02040471 | Medicaid | NY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RO017155 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Clinical | Current | 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
- 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
- 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.