MR. MICHAEL SHELTON


Address: 525 South 4th Street, Suite 471, Equilibria, Philadelphia, PA 19147
Phone: 2678613685

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
PC008384 PA Behavioral Health & Social Service Providers

Other Providers MICHAEL SHELTON

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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

Office Location

Street Address 525 SOUTH 4TH STREET, SUITE 471
EQUILIBRIA
City PHILADELPHIA
State PA
Zip Code 19147

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19147

Improve Information

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Dataset Information

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.

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