MARISA LEE YOUNG (NPI# 1306312715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306312715 |
| Entity Type | Individual |
| Full Name | MARISA LEE YOUNG |
| Practice Address |
11-21 Broadway St Gloversville NY 12078-3968 |
| Mailing Address |
11-21 Broadway St Gloversville NY 12078-3964 |
| Practice Telephone | 5187254310 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429366 | Marisa Christine Young | Behavior Technician | 1651 Old Meadow Rd, Ste 600, Mc Lean, VA 22102-4389 | 2018-12-17 |
| 1235524877 | Marisa Young | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303-3033 | 2015-03-31 |
| 1982826624 | Marisa Young | Licensed Practical Nurse | 1216 Commonwealth Ave, Allston, MA 02134-4638 | 2007-05-03 |
| 1598813222 | Marisa Young | Counselor | 2100 Bull St, Columbia, SC 29201-2104 | 2007-01-08 |
| Street Address |
11-21 BROADWAY ST |
| City | GLOVERSVILLE |
| State | NY |
| Zip Code | 12078-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992766406 | Steve J Scarlata | Social Worker | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2006-04-01 |
| 1841899317 | Victor Vandewal | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-10-25 |
| 1407455371 | Angela M Whiteaker | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-10-22 |
| 1407461411 | Ashley Marie Ellenberger | Nurse Practitioner | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-09-15 |
| 1053925677 | Katie Broadwell | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-09-01 |
| 1871102046 | Victoria Elise Degiulio | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-07-23 |
| 1417585977 | Laressa Marie Slater | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3964 | 2020-03-31 |
| 1023646288 | Elisa Yeonhee Kim | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-31 |
| 1407482839 | Evelyn Karpel | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-17 |
| 1588299408 | Cassandra May Aiken | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3964 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1013424076 | Benjamin Edward Twait | Pharmacist | 1013 Ny-29a, Gloversville, NY 12078 | 2017-12-29 |
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1942756895 | Shardul Koppar | Internal Medicine | 847 Cr-122, Gloversville, NY 12078 | 2016-08-31 |
| 1821460288 | Kelley Mcgork | Physical Therapist | 127 E. State Street, Lexington Center, Gloversville, NY 12078 | 2015-10-26 |
| 1750729570 | Arthur Keith Brelia | General Practice | 104 Prospect Ave., Gloversville, NY 12078 | 2013-06-14 |
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1407179963 | Karen Ann Mowrey | Pharmacist | Route 30a, Arterial Shopping Center, Gloversville, NY 12078 | 2010-03-11 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| Find all providers in zip 12078 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1457521759 | Sueann Margaret Mullarkey | Counselor | 30 6th Ave, Gloversville, NY 12078-2224 | 2008-03-03 |
| 1235105990 | Deborah Jean Bovee | Counselor | Fulton County Mental Health Clinic57 East Fulton Street, Gloversville, NY 12078 | 2006-02-23 |
| 1841899317 | Victor Vandewal | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-10-25 |
| 1407455371 | Angela M Whiteaker | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-10-22 |
| 1053925677 | Katie Broadwell | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-09-01 |
| 1871102046 | Victoria Elise Degiulio | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-07-23 |
| 1417585977 | Laressa Marie Slater | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3964 | 2020-03-31 |
| 1023646288 | Elisa Yeonhee Kim | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-31 |
| 1407482839 | Evelyn Karpel | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-17 |
| Find all providers in GLOVERSVILLE | ||||
| City | GLOVERSVILLE |
| Zip Code | 12078 |
Please comment or provide details below to improve the information on MARISA LEE YOUNG.
| 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.