MRS. MARILYN MALDONADO (NPI# 1215329925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329925 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN MALDONADO |
| Practice Address |
4915 Donovan Ave Saint Louis MO 63109-2631 |
| Mailing Address |
11960 Westline Industrial Dr Ste 201 Saint Louis MO 63146-3209 |
| Practice Telephone | 3144814095 |
| Mailing Telephone | 8664339555 |
| Mailing Fax Number | 3142757444 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ESSENCE HEALTHCARE | 000076011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588789606 | Marilyn Maldonado | Pharmacy Technician | Hc 73 Box 5016, Naranjito, PR 00719-9124 | 2007-03-20 |
| 1134639602 | Marilyn Maldonado | Social Worker | 4035 Junction Blvd, Corona, NY 11368-2121 | 2017-10-10 |
| Street Address |
4915 DONOVAN AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831443399 | Thomas Joseph Chuday | Speech-Language Pathologist | 4915 Donovan Ave, Saint Louis, MO 63109-2631 | 2012-11-06 |
| 1285151688 | Katherine Elizabeth Heller | Speech-Language Pathologist | 4915 Donovan Ave, Saint Louis, MO 63109-2631 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505033 | Debra Ann Absolon | Psychologist | 900 Forder Crossing Dr, Saint Louis, MO 63129-7115 | 2019-08-27 |
| 1558875732 | Eliza Kathleen Hutchings | Psychologist | 1518 Graham St, Saint Louis, MO 63139-3002 | 2017-11-26 |
| 1902325251 | Rachel Ann Brown | Psychologist | 7746 Wise Ave, Saint Louis, MO 63117-1543 | 2017-09-18 |
| 1366981011 | Barbara Joan Lombardo | Psychologist | 9308 Paul Adrian Dr, Saint Louis, MO 63126-2608 | 2017-02-14 |
| 1780206714 | Brittani Holdsworth | Psychologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2020-05-13 |
| 1740815075 | Laura Elizabeth Grizzle | Psychologist | 1118 S 7th St, Saint Louis, MO 63104-3624 | 2020-03-06 |
| 1235769878 | Janet Elizabeth Beltz | Psychologist | 801 N 11th St, Saint Louis, MO 63101-1015 | 2020-01-23 |
| 1275097057 | Kimberly Dawn Ballman | Psychologist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2019-01-25 |
| 1588115505 | Elizabeth Frances Helm | Psychologist | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2016-10-14 |
| 1558816512 | Marsha Guilliams | Psychologist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3209 | 2016-08-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on MRS. MARILYN MALDONADO.
| 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.