MARISSA DIAZ (NPI# 1427541507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427541507 |
| Entity Type | Individual |
| Full Name | MARISSA DIAZ |
| Credential | LMSW |
| Practice Address |
707 Broadway Blvd Ne Ste 103 Albuquerque NM 87102-2300 |
| Mailing Address |
6431 Dante Ln Nw Albuquerque NM 87114-5024 |
| Practice Telephone | 5059334639 |
| Practice Fax Number | 5052439949 |
| Mailing Telephone | 5052397576 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821303975 | Marissa Alicia Diaz | Counselor | 6000 Palm Trace Landing Dr, Apt 204, Davie, FL 33314-1835 | 2010-08-13 |
| 1447862248 | Marissa Janae Diaz | Behavior Technician | 5522 Lone Star Pkwy, San Antonio, TX 78253-6719 | 2020-08-21 |
| 1518346394 | Marissa Diaz | Physician Assistant | 22080 La Hwy 20, Vacherie, LA 70090 | 2015-05-26 |
| Street Address |
707 BROADWAY BLVD NE STE 103 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063561983 | Jean Evelyn Shaw-hioki | Social Worker | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2007-01-09 |
| 1518503192 | Lily Dorato Smith | Social Worker | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2019-11-19 |
| 1477028975 | Karla A Trevizo | Counselor | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2018-10-10 |
| 1881178937 | Ella Alice Brown | Social Worker | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2018-09-24 |
| 1598248098 | Caleb H Dansky | Social Worker | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2018-09-11 |
| 1699262428 | Melinda G. Cardenas | Community/Behavioral Health | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2018-04-17 |
| 1841708815 | Lauren Mary Martell | Counselor | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2018-01-12 |
| 1710400791 | Talia M Montoya | Social Worker | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2017-07-20 |
| 1154853695 | Allyson Randall | Counselor | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2017-04-03 |
| 1144767369 | Dylan Ottemiller Drusedum | Counselor | 707 Broadway Blvd Ne Ste 103, Albuquerque, NM 87102-2300 | 2017-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on MARISSA DIAZ.
| 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.