MICHELLE A PETAK
NPI 1104484179
Case Manager/Care Coordinator in Niles, OH

Q: What is Michelle Petak's NPI number?

The NPI number for Michelle Petak is 1104484179. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Michelle Petak's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Petak was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2019

165 E PARK AVE, NILES, OH 44446(330) 544-8005(330) 544-9379 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, Jun 4, 2019 (2 updates tracked since 2019).

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About Michelle A Petak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE A PETAK (NPI 1104484179) is an individual case manager/care coordinator provider in Niles, Ohio and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1104484179

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMICHELLE A PETAK

Location Address165 E PARK AVENiles, OH 44446-2352

Mailing Address1707 Roberts Ln NeWarren, OH 44483-3621 · (330) 360-0259

Phone(330) 544-8005

Fax(330) 544-9379

Sole ProprietorYes

Enumeration DateJune 4, 2019

Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1104484179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

165 E PARK AVE, Niles, OH 44446

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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