LOUIS J. MARINO JR. (NPI# 1194739607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194739607 |
| Entity Type | Individual |
| Full Name | LOUIS J. MARINO JR. |
| Credential | MD |
| Practice Address |
345 Blackstone Blvd Providence RI 02906-4800 |
| Practice Telephone | 4014556200 |
| Practice Fax Number | 4014556309 |
| Mailing Telephone | 4014556200 |
| Mailing Fax Number | 4014556309 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD09220 | RI | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD09220 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP | 400061 | 01 |
| RI | 9025185 | 05 | |
| RI | BLUE CROSS | 25185-7 | 01 |
| BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE NPI | 1093831646 | 01 | |
| RI | UNITED BEHAVIORAL HEALTH | 15-37842 | 01 |
| BUTLER HOSPITAL NPI | 1104801349 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023134665 | Louis John Marino | Technician/Technologist | 204 N Colony St, Wallingford, CT 06492-3656 | 2007-03-22 |
| 1275518433 | Louis C Marino | Family Medicine | 2325 Heritage Center Dr Ste 200, Furlong, PA 18925-1262 | 2005-12-09 |
| Street Address |
345 BLACKSTONE BLVD |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203690 | Andrew Seth Rosenzweig | Psychiatry & Neurology | 345 Blackstone Blvd, Rm. 232 2nd Floor Annex Building, Providence, RI 02906-4800 | 2005-05-24 |
| 1356940860 | Diane Medeiros Gomes | Pharmacist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-10-26 |
| 1013528199 | Michael Gunson | Physician Assistant | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-08-12 |
| 1902423775 | Elyssa Sham | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-28 |
| 1407472400 | Amy Rebecca Johnson | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-25 |
| 1669096772 | Olivia Hunt | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-04 |
| 1922622125 | Carla Julia Hasson | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906 | 2020-06-03 |
| 1023632395 | Micah Benjamin Duggins-warf | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-03 |
| 1982228060 | Armond Collins | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-06-03 |
| 1508485301 | Brian Charles Castelluccio | Clinical Neuropsychologist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588101745 | Forefront Rosenzweig Medical Services Professional Corporation | Psychiatry & Neurology | 17 Adelphi Ave, Providence, RI 02906-4119 | 2017-01-26 |
| 1942203690 | Andrew Seth Rosenzweig | Psychiatry & Neurology | 345 Blackstone Blvd, Rm. 232 2nd Floor Annex Building, Providence, RI 02906-4800 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391365 | A Knew You and Wellness LLC | Psychiatry & Neurology | 42 Basswood Dr, Bristol, RI 02809-4912 | 2020-09-19 |
| 1508054107 | L. Skoble Md Inc | Psychiatry & Neurology | 28 Donizetti Rd, Westerly, RI 02891-4621 | 2007-10-09 |
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on LOUIS J. MARINO JR..
| 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.