Michelle M. Bishop, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6140 Issued in FL

Legal business name

MICHELLE M. BISHOP, PHD, LLC

Practice address

2653 SW 87TH Dr Ste a
Gainesville, FL 32608-9313

Phone

(352) 331-0020

Fax

(352) 331-0022

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Donna Rose

Title

Office Manager

Phone

(352) 331-0020

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Marie Bishop, PH.D.

  • Clinical Psychologist
  • Gainesville, FL
  • NPI 1306081369
  Medicare reassignment NPD

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1922335017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 SW 87TH DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089313",
            "telephone_number": "352-331-0020",
            "fax_number": "352-331-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 SW 87TH DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089313",
            "telephone_number": "352-331-0020",
            "fax_number": "352-331-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE M. BISHOP, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-331-0020"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6140",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6140",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "PY6140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ayala Michaels, MD
• Yehudit Michalson-Hazan
• Bryanna Imani Michel, DOULA
• Jacqueline Michel
• Jon Paul Michelini, MS, ATC
• Michelles Companion Service LLC
• Beth Norma Michelson, LMT
• Florina Mickel, APRN
• Casandra Mickens, MSW
• Tanya J Mickler, PHD

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.