MICHAEL ANTHONY CHIARELLO (NPI# 1235204678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235204678 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY CHIARELLO |
| Credential | PHD, NP |
| Practice Address |
3771 Nesconset Hwy Ste 212 South Setauket NY 11720 |
| Mailing Address |
3771 Nesconset Hwy Ste 212 South Setauket NY 11720-1154 |
| Practice Telephone | 6316895390 |
| Practice Fax Number | 6318836652 |
| Mailing Telephone | 6316895390 |
| Mailing Fax Number | 6316895395 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400066-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02168454 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3771 Nesconset Hwy Ste 212, South Setauket, NY 11720 | 6316895390 | 6318836652 |
| Street Address |
3771 NESCONSET HWY STE 212 |
| City | SOUTH SETAUKET |
| State | NY |
| Zip Code | 11720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164693305 | A I B H Nurse Practitioner-pscyhiatry Pllc | Nurse Practitioner | 3771 Nesconset Hwy Ste 212, South Setauket, NY 11720-1154 | 2008-03-16 |
| 1306911748 | Filomena Buncke | Nurse Practitioner | 3771 Nesconset Hwy Ste 212, South Setauket, NY 11720-1154 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164693305 | A I B H Nurse Practitioner-pscyhiatry Pllc | Nurse Practitioner | 3771 Nesconset Hwy Ste 212, South Setauket, NY 11720-1154 | 2008-03-16 |
| 1992975379 | Boaro Consultations Nurse Practitioner In Psychiatry PC | Nurse Practitioner | 3771 Nesconset Hwy, Suite 208b, South Setauket, NY 11720-1163 | 2008-03-03 |
| 1427175348 | Diane E Boaro | Nurse Practitioner | 3771 Nesconset Hwy, Suite 208b, South Setauket, NY 11720-1163 | 2007-03-24 |
| 1306911748 | Filomena Buncke | Nurse Practitioner | 3771 Nesconset Hwy Ste 212, South Setauket, NY 11720-1154 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SETAUKET |
| Zip Code | 11720 |
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| 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.