MS. MICHELLE SHANTA SPENCER (NPI# 1609313717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609313717 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE SHANTA SPENCER |
| Credential | LMHC |
| Practice Address |
500 Bi County Blvd Suite 450 Farmingdale NY 11735-3988 |
| Practice Telephone | 9186079009 |
| Mailing Telephone | 9186079009 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234343 | Michelle Spencer | Dental Hygienist | 3894 Robina Ave, Berkley, MI 48072-1499 | 2016-02-09 |
| 1851636252 | Michelle Spencer | Licensed Practical Nurse | 13936 S Bonaparte Rd, Harrisville, NY 13648-2308 | 2012-12-11 |
| 1174091490 | Michelle Spencer | Case Manager/Care Coordinator | 259 Parkers Mill Rd, Somerset, KY 42501-3152 | 2018-11-05 |
| 1043718687 | Michelle Spencer | Massage Therapist | 38 E 5th Ave, Denver, CO 80203-3436 | 2018-01-29 |
| 1225542293 | Michelle Ann Spencer | Registered Nurse | 730 W Stassney Ln Ste 110, Austin, TX 78745-3032 | 2017-11-28 |
| 1851803340 | Michelle Susan Spencer | Clinic/Center | 4439 Stoneridge Dr, Pleasanton, CA 94588-8314 | 2017-10-25 |
| 1750752531 | Michelle Spencer | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2015-10-19 |
| 1003282864 | Michelle Spencer | Nurse Practitioner | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-08-17 |
| 1750700597 | Michelle Spencer | Physical Therapist | 508 Fulton St, B2010, Durham, NC 27705-3875 | 2014-04-09 |
| 1215350863 | Michelle Spencer | Counselor | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2014-01-31 |
| Street Address |
500 BI COUNTY BLVD SUITE 450 |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902002405 | Claudia A Bileychuk | Speech-Language Pathologist | 500 Bi County Blvd, Suite 450, Farmingdale, NY 11735-3988 | 2007-06-22 |
| 1881189025 | Colleen Simms | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-06-29 |
| 1992290761 | Sameika Cobb | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-06-25 |
| 1194218750 | Stephanie Perrone | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-06-08 |
| 1649761057 | Patrick Joseph Thornton | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-05-21 |
| 1083117600 | Loredana Lina Raneri | Early Intervention Provider Agency | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-03-09 |
| 1487156519 | Shaniqua Harris | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-03-05 |
| 1356859086 | Brianna Daquin | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-01-16 |
| 1871001560 | Raquel Downing | Behavior Technician | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2018-01-16 |
| 1003328972 | Eileen Alice Leibman | Specialist | 500 Bi County Blvd, Farmingdale, NY 11735-3988 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| 1235542143 | Richard Remauro | Counselor | 226 Sullivan Ave, Farmingdale, NY 11735-5046 | 2014-06-09 |
| 1275854689 | Marykate Janet Kontio | Counselor | 23 Almar St, Farmingdale, ME 04344-1638 | 2010-06-21 |
| 1437473410 | Jennifer Kathleen Episcopo | Counselor | 10 Juniper St, Farmingdale, NY 11735-5345 | 2010-03-20 |
| 1346473261 | Chris Danzi | Counselor | 128 Sullivan Ave, Farmingdale, NY 11735-5020 | 2009-08-26 |
| 1861608325 | Theresa Ann Pellegrino | Counselor | 77 Lockwood Ave, Farmingdale, NY 11735-4510 | 2007-05-14 |
| 1962526541 | Karen D Breitinger | Counselor | 11 Sean Michael Ct, Farmingdale, NY 11735-2124 | 2007-03-19 |
| 1245261148 | Cheryl Marla Levy | Counselor | 37 Beverly Rd, Farmingdale, NY 11735-3302 | 2006-07-06 |
| 1548870033 | Veronica Hayes | Counselor | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-08-09 |
| 1427668508 | Richard David Llanton | Counselor | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-08-04 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on MS. MICHELLE SHANTA SPENCER.
| 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.