Individual provider Active NPI

Michelle Dunn, CARC

  • Peer Specialist
  • Gardner, MA
National Provider Identifier
1952917940
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
0274 Issued in MA
Practice address
208 Coleman St
Gardner, MA 01440-3767
Phone
(978) 632-0934
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 0274 MA Primary

Addresses

Primary practice location

208 Coleman St
Gardner, MA 01440-3767

Mailing address

208 Coleman St
Gardner, MA 01440-3767
Phone (978) 632-0934

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gardner

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0274MAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaamha, Inc Peer Specialist CurrentSince Mar 31, 2024 Accepting new patients
Gaamha, Inc PastSince Sep 20, 2020 Accepting new patients

Locations

208 Coleman St
Gardner, MA 01440
Phone (978) 632-0934

Organizations & group practices 2

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1952917940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLEMAN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403767",
            "telephone_number": "978-632-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLEMAN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403767",
            "telephone_number": "978-632-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "MICHELLE",
        "credential": "CARC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MA",
            "license": "0274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gardner",
            "affiliation": "N",
            "address_1": "208 Coleman St",
            "city": "Gardner",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014403767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.