Provider Demographics
NPI:1588918668
Name:BARNES, MICHELLE (CERTIFIED OCCUPATION)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:CERTIFIED OCCUPATION
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:SCHMID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CERTIFIED OCCUPATION
Mailing Address - Street 1:7540 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571
Mailing Address - Country:US
Mailing Address - Phone:845-464-7390
Mailing Address - Fax:
Practice Address - Street 1:41 ALDEN PLACE
Practice Address - Street 2:MILLBROOK CENTRAL SCHOOL DISTRICT
Practice Address - City:MILLBROOK
Practice Address - State:NY
Practice Address - Zip Code:12545
Practice Address - Country:US
Practice Address - Phone:845-677-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008186-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant