MARISSA LYNN O'NEILL (NPI# 1033569868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033569868 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN O'NEILL |
| Credential | TLLP |
| Practice Address |
218 Fast Ice Dr Midland MI 48642-6167 |
| Mailing Address |
4187 Brockway Rd Saginaw MI 48638-4776 |
| Practice Telephone | 9896312320 |
| Mailing Telephone | 6168946744 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301016706 | MI | Behavioral Health & Social Service Providers |
| Street Address |
218 FAST ICE DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-6167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063501351 | Nicole Lynn Minnis | Psychologist | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2006-10-12 |
| 1013560820 | Jessica Lynn Klatt | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2019-07-20 |
| 1639661630 | Ariel Dawn Tausk | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-06-05 |
| 1295226769 | Rashell Byrski | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-05-21 |
| 1548761745 | Jenae Eva Finney | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-02-22 |
| 1578070124 | Jessica Sansoucie | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2018-01-04 |
| 1528583432 | Trisha Powell | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-11 |
| 1972028934 | Pamela Lane Graber | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-08-10 |
| 1821528845 | Melissa Ann Gilbert | Peer Specialist | 218 Fast Ice Dr, Midland, MI 48642 | 2017-06-13 |
| 1801324330 | Rachel Lightfoot | Social Worker | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2017-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871943274 | Alan Friedman | Psychologist | 1200 Midland Ave, Midland, PA 15059-1696 | 2016-06-16 |
| 1285757500 | Jill E. Trager, Psy.d. | Psychologist | 2719 Ashman St, Midland, MI 48640-4434 | 2007-04-10 |
| 1528101987 | Charles N Silverman | Psychologist | 6 Desta Dr Ste 2565, Midland, TX 79705-5515 | 2007-02-15 |
| 1710080833 | Perry M Marchioni | Psychologist | 1705 W Illinois, Midland, TX 79701 | 2006-09-06 |
| 1780283051 | Danielle Paull | Psychologist | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2020-10-19 |
| 1154920429 | Mikaela Overton | Psychologist | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2020-10-19 |
| 1932752235 | Bonny Rye | Psychologist | 4611 Campus Ridge Dr, Midland, MI 48640-9533 | 2019-07-17 |
| 1467953349 | Perspectives Psychological Associates of Midmichigan LLC | Psychologist | 104 W Wackerly St, Midland, MI 48640-2791 | 2018-02-26 |
| 1396279162 | Travis J. Pashak | Psychologist | 1205 E Wackerly St, Midland, MI 48642-7035 | 2017-04-18 |
| 1548626187 | Janet Alaine Carter | Psychologist | 4214 Andrews Hwy, Midland, TX 79703-4822 | 2016-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.