MICHELLE BRADY (NPI# 1831638022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831638022 |
| Entity Type | Individual |
| Full Name | MICHELLE BRADY |
| Credential | CADC II A042521016 |
| Practice Address |
50249 Cesar Chavez St Ste K Coachella CA 92236-1530 |
| Practice Telephone | 7603930555 |
| Practice Fax Number | 7603930522 |
| Mailing Telephone | 7603930555 |
| Mailing Fax Number | 7603930522 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A042521016 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033579370 | Michelle Marie Brady | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-02-29 |
| 1750703351 | Michelle Marie Brady | Clinic/Center | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2014-01-16 |
| 1396735379 | Michelle A Brady | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2005-10-21 |
| Street Address |
50249 CESAR CHAVEZ ST STE K |
| City | COACHELLA |
| State | CA |
| Zip Code | 92236-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932381605 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2007-12-04 |
| 1679094981 | Dae Yong Kim | Internal Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-06-28 |
| 1568995371 | Catherine Maria Solares Carroll | Pediatrics | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-04-07 |
| 1861923492 | Gladys Valdez Rivera | Family Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-03-24 |
| 1205266947 | Saifuddin Talib | Registered Nurse | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2013-11-15 |
| 1902112782 | Richard John Eppey II | Obstetrics & Gynecology | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2010-08-31 |
| 1538305883 | Jenny Mae Wheeler | Family Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| Find all providers in zip 92236 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1992997001 | Jossye Karin Trivino-cook | Counselor | 1612 1st St, Coachella, CA 92236 | 2007-08-13 |
| 1710546486 | Estela Ramirez | Counselor | 84109 La Jolla Ave, Coachella, CA 92236-9575 | 2019-06-06 |
| 1326525387 | Carmen Alicia Rios | Counselor | 84109 La Jolla Ave, Coachella, CA 92236-9575 | 2018-07-23 |
| 1982181921 | Carla Catherine Flores | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2018-07-23 |
| 1184961849 | Ruby E Barajas | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2013-01-14 |
| 1407123714 | Maribel Ayon Tapia | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2011-11-30 |
| 1255523353 | Veronica Brambila | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELLE BRADY.
| 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.