Michelle Carissimi, M.S.ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

1637607 Issued in NY

Practice address

1464 76TH St
Brooklyn, NY 11228-2408

Phone

(347) 782-3257

Fax

(718) 443-3499

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Sichler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michelle Carissimi LLC

  • Specialist
  • Brooklyn, NY
  • NPI 1487078051
  NPD (past) Authorized official

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1942621941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282408",
            "telephone_number": "347-782-3257",
            "fax_number": "718-443-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282408",
            "telephone_number": "347-782-3257",
            "fax_number": "718-443-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARISSIMI",
        "first_name": "MICHELLE",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1637607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SICHLER",
            "credential": "M.S.ED/SPED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.