MR. MICHAEL SHELTON (NPI# 1205205226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205205226 |
Entity Type | Individual |
Full Name | MR. MICHAEL SHELTON |
Credential | MS, CAC, CAADC |
Practice Address |
525 South 4th Street, Suite 471 Equilibria Philadelphia PA 19147 |
Mailing Address |
525 South 4th Street, Suite 471 Equilibria Philadelphia PA 19147-5025 |
Practice Telephone | 2678613685 |
Mailing Telephone | 2678613685 |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC008384 | PA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801917208 | Michael Lynn Shelton | Non-emergency Medical Transport (VAN) | 622 Lazy Ln, Mount Carmel, TN 37645 | 2007-04-03 |
1225124407 | Michael W Shelton | Family Medicine | 2715 Morrison St, Houston, TX 77009-7613 | 2006-10-05 |
1235241977 | Michael E Shelton | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2006-08-31 |
1003810995 | Michael Vise Shelton | Family Medicine | 4222 Wendover Ave, Ste 600, Odessa, TX 79762-5983 | 2005-06-08 |
1396372033 | Michael Alan Shelton | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-24 |
1346887320 | Michael Shelton | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-12-09 |
1326329426 | Michael Jesse Shelton | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-09-01 |
1124251103 | Michael Tyshune Shelton | Registered Nurse | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2009-08-25 |
1962687301 | Michael Scott Shelton | Occupational Therapy Assistant | 5901 Broken Sound Pkwy Ste 500, Boca Raton, FL 33487-2791 | 2008-01-03 |
1639350051 | Michael L. Shelton | Anesthesiology | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2007-11-14 |
Street Address |
525 SOUTH 4TH STREET, SUITE 471 EQUILIBRIA |
City | PHILADELPHIA |
State | PA |
Zip Code | 19147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
Find all providers in zip 19147 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19147 |
Please comment or provide details below to improve the information on MR. MICHAEL SHELTON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.