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

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: July 26, 2026.

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

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

Other Providers at the Same Location NPPES 7

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

RUTHMAN MEDICAL GROUP LLC
Family Medicine
2741 EXECUTIVE PARK DR, SUITE 4
WESTON, FL 33331
Broward County (954) 659-2102
SOUTH FLORIDA PSYCH AND CONCIERGE SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
2741 EXECUTIVE PARK DR
WESTON, FL 33331
Broward County (561) 337-0210
A BRIDGE TO GROWTH
Counselor (Mental Health)
2741 EXECUTIVE PARK DR, STE 2B
WESTON, FL 33331
Broward County (954) 257-6393
MRS. MARIA DEL ROCIO BUECHLER LCSW
Social Worker (Clinical)
2741 EXECUTIVE PARK DR, STE 1
WESTON, FL 33331
Broward County (954) 385-6750
SANDRA SORRENTINO LMHC
Counselor (Mental Health)
2741 EXECUTIVE PARK DR
WESTON, FL 33331
Broward County (954) 779-8081
MISS JACQUELINE SCHWARTZ LMFT
Marriage & Family Therapist
2741 EXECUTIVE PARK DR
WESTON, FL 33331
Broward County (954) 385-6750
MRS. SHEILAH ABADINES LEDESMA LCSW
Social Worker (Clinical)
2741 EXECUTIVE PARK DR, SUITE 1
WESTON, FL 33331
Broward County (954) 385-6750

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.

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 with the weekly NPPES data releases published by CMS.