Active NPI
Michelle Ann Merindino, LMHC
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1932677697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007997-1
- Practice address
- 690 Castleton Ave
Staten Island, NY 10310-1822 - Phone
- (646) 255-8668
- NPI assigned
- Nov 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007997-1 | NY | Primary |
Addresses
Primary practice location
690 Castleton Ave
Staten Island, NY 10310-1822
Mailing address
6330 Pleasantview St
Middle Village, NY 11379-1844
Phone (646) 255-8668
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
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11835 Queens Blvd
Suite 1630
Forest Hills, NY 11375-7200
Phone (849) 279-5908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007997-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Mental Health | Current | Accepting new patients |
Locations
667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223
11835 Queens Blvd
Ste 1630
Forest Hills, NY 11375
Phone (845) 572-0400
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": "1541808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541808000000",
"number": "1932677697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 PLEASANTVIEW ST",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791844",
"telephone_number": "646-255-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 CASTLETON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101822",
"telephone_number": "646-255-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERINDINO",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-10",
"last_updated": "2018-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007997-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Mercy & Grace Nurse Practitioner in Gerontology of New York PLLC
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- Tamara Merhej, MD
- Meridian Care Occupational Therapy PC
- Christine Merillo, SPECIAL EDUCATION
- Merit Rehab Physical Therapy Assistant PLLC
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- John Anthony Merlino, D.P.M.
- Lina Rita Merlino, MD
- Phyllis Gina Merlino, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.