Individual provider · Type 1 NPI

Michelle Marie Charles, PMHNP, LCSW; RN

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1871969329 Active

Practice location

180 Fort Washington Ave Fl 6
New York, NY 10032-3722

Mailing address

224 W 124th St Apt 1108
New York, NY 10027-4938

Other practice locations

  • 1275 York Ave, New York, NY 10065-6007 · (212) 639-7261
  • 1090 Amsterdam Ave, New York, NY 10025-1737 · (212) 241-7228

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X095645-1 (NY)
Clinical Social Worker 1041C0700X087700-1 (NY)
Registered Nurse 163W00000X827298 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X404955 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1871969329

Michelle Marie Charles, PMHNP, LCSW; RN's National Provider Identifier is 1871969329, issued on Aug 19, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Sep 3, 2024.