NPI

Michaela Skylar Banks

NPI 1598392979

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2020-03-25
Last updated
2026-08-13

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Specialties

Licenses

License LA
331611
License NY
334087
License MA
1025185

Location

Practice location
235 N Pearl St
City
Brockton MA
Postal code
02301-1794
Phone
(508) 427-3000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Brockton, MA. 5,068 records in the public file.

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