DR. MARVIN WILLIAM FUTTERSAK (NPI# 1972680445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972680445 |
| Entity Type | Individual |
| Full Name | DR. MARVIN WILLIAM FUTTERSAK |
| Credential | PH.D. |
| Practice Address |
3771 Nesconset Hwy Suite 101b South Setauket NY 11720-1163 |
| Practice Telephone | 6317511420 |
| Practice Fax Number | 6317511420 |
| Mailing Telephone | 6317511420 |
| Mailing Fax Number | 6317511420 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
00107 | NY | Behavioral Health & Social Service Providers |
| Street Address |
3771 NESCONSET HWY SUITE 101B |
| City | SOUTH SETAUKET |
| State | NY |
| Zip Code | 11720-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716524 | Frank Paul Desio | Podiatrist | 3771 Nesconset Hwy, Suite 106, South Setauket, NY 11720-1163 | 2005-08-09 |
| 1700271020 | Lisa A Nelson Np-psychiatry | Registered Nurse | 3771 Nesconset Hwy, Suite 212, South Setauket, NY 11720-1163 | 2015-04-02 |
| 1851713556 | Kimberly A. Frasca, Psy.d. PC | Psychologist | 3771 Nesconset Hwy, Suite 208a, South Setauket, NY 11720-1163 | 2014-01-14 |
| 1639413024 | Michael A Scarpa | Marriage & Family Therapist | 3771 Nesconset Hwy, Suite 214, South Setauket, NY 11720-1163 | 2012-11-26 |
| 1962735829 | Michael Patrich Gunning | Psychologist | 3771 Nesconset Hwy, Suite 214, South Setauket, NY 11720-1163 | 2009-09-10 |
| 1922265479 | Anthony J. Perrotta Dds PC | Dentist | 3771 Nesconset Hwy, Suite 107, South Setauket, NY 11720-1163 | 2008-05-21 |
| 1992975379 | Boaro Consultations Nurse Practitioner In Psychiatry PC | Nurse Practitioner | 3771 Nesconset Hwy, Suite 208b, South Setauket, NY 11720-1163 | 2008-03-03 |
| 1952589335 | Chuks J. Onwu Surgical Services, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3771 Nesconset Hwy, Suite 103, South Setauket, NY 11720-1163 | 2008-02-07 |
| 1295923571 | Alan P Felice | Social Worker | 3771 Nesconset Hwy, Suite 208a, South Setauket, NY 11720-1163 | 2007-10-11 |
| 1225239668 | Dana Jean Mancuso | Marriage & Family Therapist | 3771 Nesconset Hwy, Ste 214, South Setauket, NY 11720-1163 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851713556 | Kimberly A. Frasca, Psy.d. PC | Psychologist | 3771 Nesconset Hwy, Suite 208a, South Setauket, NY 11720-1163 | 2014-01-14 |
| 1962735829 | Michael Patrich Gunning | Psychologist | 3771 Nesconset Hwy, Suite 214, South Setauket, NY 11720-1163 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SETAUKET |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on DR. MARVIN WILLIAM FUTTERSAK.
| 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.