DR. MICHELLE CHANNING PA
NPI 1417037102
Psychologist - Clinical in Weston, FL

Q: What is Dr. Michelle Channing PA's NPI number?

The NPI number for Dr. Michelle Channing PA is 1417037102. It was assigned to this organization in the NPPES registry on October 17, 2006.

Q: What is Dr. Michelle Channing PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 17, 2006

2741 EXECUTIVE PARK DR, SUITE 1, WESTON, FL 33331(954) 385-6750(954) 385-6757 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2021, Sep 10, 2021 (2 updates tracked since 2021).

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About Dr. Michelle Channing Pa NPPES

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

DR. MICHELLE CHANNING PA (NPI 1417037102) is a healthcare organization registered as a clinical in Weston, Florida and active in the NPI registry since October 2006. The organization lists Michelle Channing, President, as its authorized official.

NPPES Registry Identity

NPI1417037102

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDR. MICHELLE CHANNING PA

Location Address2741 EXECUTIVE PARK DR, SUITE 1Weston, FL 33331-3641

Mailing Address2741 Executive Park Dr, Suite 1Weston, FL 33331-3641 · (954) 385-6750 · Fax (954) 385-6757

Phone(954) 385-6750

Fax(954) 385-6757

Organization SubpartNo

Authorized OfficialMichelle ChanningPresident · (954) 385-6750

Enumeration DateOctober 17, 2006

Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1417037102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY6745

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2741 EXECUTIVE PARK DR, Weston, FL 33331

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Other Identifiers 1

OtherQ0486Medicare Group Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Channing Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Michelle Channing PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Channing, PSYD

Clinical Psychologist

NPI 1821191420

2741 EXECUTIVE PARK DR STE 1
Weston, FL 33331

(954) 385-6750

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Michelle Channing PA's NPI number?

The NPI number for Dr. Michelle Channing PA is 1417037102. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Dr. Michelle Channing PA located?

Dr. Michelle Channing PA is located at 2741 Executive Park Dr Suite 1, Weston, FL 33331. The listed phone number is (954) 385-6750.

What is Dr. Michelle Channing PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dr. Michelle Channing PA enrolled in Medicare?

Yes. Dr. Michelle Channing PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Michelle Channing PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr. Michelle Channing PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Michelle Channing PA was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.