MARISSA SMITH-MILLMAN (NPI# 1780290189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780290189 |
| Entity Type | Individual |
| Full Name | MARISSA SMITH-MILLMAN |
| Credential | PHD |
| Practice Address |
799 Concord Ave Cambridge MA 02138-1048 |
| Mailing Address |
500 Broadway Apt 3136 Malden MA 02148-2076 |
| Practice Telephone | 6176745338 |
| Mailing Telephone | 2032473035 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 11355 | MA | Behavioral Health & Social Service Providers |
| Street Address |
799 CONCORD AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659189 | Nancy Anne Legere | Physical Therapist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2005-09-20 |
| 1457906372 | Brittany Jordan-arthur | Psychologist | 799 Concord Ave, Mclean Child Outpatient Services, Cambridge, MA 02138 | 2019-08-07 |
| 1578115887 | Yudelki Marlin Firpo-perretti | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-07-16 |
| 1508323056 | Kayla Perry | Speech-Language Pathologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-02-20 |
| 1073086088 | Erin Elizabeth Holyoke | Occupational Therapist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-01-03 |
| 1316413156 | Jin's Acupuncture & Herbal Medicine | Acupuncturist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-10-19 |
| 1700368719 | Karmen Koesterer | Clinical Neuropsychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-09-05 |
| 1770075848 | Monica Betjemann | Nurse Practitioner | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-06-04 |
| 1295257772 | Trudi Beth Koslof | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2017-07-17 |
| 1124554704 | Kathryn R Harlukowicz | Speech-Language Pathologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2017-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
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| 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 |
|---|---|---|---|---|
| 1043793722 | Lucy Curell | Psychologist | 278 Washington St Apt 2, Cambridge, MA 02139-3506 | 2018-09-10 |
| 1023504156 | Robert Graham Kegan | Psychologist | 71 Larch Rd, Cambridge, MA 02138-3316 | 2018-07-01 |
| 1063907590 | Meg Alison Bond | Psychologist | 61 Dudley St, Cambridge, MA 02140-2419 | 2018-06-27 |
| 1982199816 | Lisa A Cosgrove | Psychologist | 415 Broadway, Cambridge, MA 02138-4278 | 2018-06-23 |
| 1811480924 | Nancy Clare Kehoe | Psychologist | 100 Cushing St, Cambridge, MA 02138-4584 | 2018-06-13 |
| 1033601547 | Arlene Miller | Psychologist | 75 Richdale Ave Ste 10, Cambridge, MA 02140-2608 | 2018-05-31 |
| 1568952810 | Janet Amphlett | Psychologist | 47 Thorndike St, Cambridge, MA 02141-1799 | 2018-05-12 |
| 1871082834 | William Mcmullen | Psychologist | 109 Antrim St, Cambridge, MA 02139-1133 | 2018-05-05 |
| 1912496183 | Katherine Ann Coleman | Psychologist | 44 Concord Ave, Cambridge, MA 02138-2380 | 2018-05-03 |
| 1811485709 | Craig Rodgers | Psychologist | 872 Mass Ave Apt 908, Cambridge, MA 02139-3018 | 2018-04-25 |
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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.