MICHELLE PELAEZ (NPI# 1518106327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518106327 |
| Entity Type | Individual |
| Full Name | MICHELLE PELAEZ |
| Credential | MEDICAL ASSISTANT |
| Practice Address |
460 North Main Street Freeport Community Health Center Freeport NY 11520 |
| Practice Telephone | 5165718600 |
| Practice Fax Number | 5165718622 |
| Mailing Telephone | 5165718600 |
| Mailing Fax Number | 5165718622 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HOSPITAL ID | 07984 | 01 |
| Street Address |
460 NORTH MAIN STREET FREEPORT COMMUNITY HEALTH CENTER |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679708507 | Sandia Foxx | Counselor | 460 North Main Street, Freeport Community Health Center, Freeport, NY 11520 | 2009-05-21 |
| 1376782185 | Stacey Esposito | Counselor | 460 North Main Street, Freeport Community Health Center, Freeport, NY 11520 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1043506538 | Kimberly Chabot | Counselor | 11 Port Dr, Freeport, ME 04032-6030 | 2011-06-22 |
| 1760776918 | Meggan Marie Mcdermott-schulz | Counselor | 1134 W Staver St, Freeport, IL 61032-3727 | 2011-06-06 |
| 1215994090 | Stephanie H Pontti | Counselor | 4 Cottage Street, Freeport, ME 04032 | 2006-04-27 |
| 1255956942 | Kimberly Michelle Lewis | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-06-09 |
| 1073135232 | Rosina Joy Goodloe | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-05-11 |
| 1164043741 | Kelsey Jo Zettle | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-05-05 |
| 1053943852 | Takesha J Brooks | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-02-10 |
| 1376182105 | Anthony Musso | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2019-12-26 |
| 1104473602 | Marjorie Buss | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2019-08-20 |
| Find all providers in FREEPORT | ||||
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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.