MARISSA GREENE (NPI# 1295370625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295370625 |
| Entity Type | Individual |
| Full Name | MARISSA GREENE |
| Credential | MT-BC |
| Practice Address |
196 Queen St Southington CT 06489-1901 |
| Mailing Address |
1233 Matianuck Ave Windsor CT 06095-3292 |
| Practice Telephone | 8605185557 |
| Mailing Telephone | 8605391001 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | 14742 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437478393 | Marissa Lizette Greene | Physical Therapist | Naval Hospital Pensacola 6000 W Hwy 98, Pensacola, FL 32512-2538 | 2010-05-18 |
| 1568876365 | Marissa Greene | Occupational Therapy Assistant | 395 Middle Rd, Nanticoke, PA 18634-3806 | 2014-06-19 |
| Street Address |
196 QUEEN ST |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689153181 | Valerie Ann Kamen | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2018-08-07 |
| 1588276265 | Mellany Gomez | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2020-08-23 |
| 1568931871 | Haley B Parent | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2018-11-15 |
| 1679056428 | Matthew Sorena | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1689153181 | Valerie Ann Kamen | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2018-08-07 |
| 1770965402 | Emily Ehrgott | Music Therapist | 1678 Meriden Waterbury Turnpike, Southington, CT 06489 | 2015-06-18 |
| 1225446883 | Haley R Baumgarten | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06479 | 2014-07-28 |
| 1588276265 | Mellany Gomez | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2020-08-23 |
| 1568931871 | Haley B Parent | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2018-11-15 |
| 1679056428 | Matthew Sorena | Music Therapist | 196 Queen St, Southington, CT 06489-1901 | 2018-09-07 |
| 1356861678 | Stephanie Marie Platzer | Music Therapist | 1678 Meriden Waterbury Turnpike, Southington, CT 06489 | 2017-06-27 |
| 1144678186 | Megan Kling | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06489 | 2016-06-01 |
| 1669859617 | Janet Fall | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06489 | 2015-04-29 |
| Find all providers in SOUTHINGTON | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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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.