MARISSA KUSHNER (NPI# 1740633296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740633296 |
| Entity Type | Individual |
| Full Name | MARISSA KUSHNER |
| Credential | PH.D. |
| Practice Address |
12791 World Plaza Ln Bldg 89 Fort Myers FL 33907-3989 |
| Practice Telephone | 2392471756 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
05695 | MD | Behavioral Health & Social Service Providers |
| Street Address |
12791 WORLD PLAZA LN BLDG 89 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720393705 | Sheba Paivandy Katz | Psychologist | 12791 World Plaza Ln, Bldg. #89, Fort Myers, FL 33907-3989 | 2010-08-13 |
| 1336694009 | Lisa Arseneau | Psychologist | 12791 World Plaza Ln, Bldg 89, Fort Myers, FL 33907-3989 | 2016-08-23 |
| 1659824308 | Yvette Mallory | Psychologist | 12791 World Plaza Ln, Bldg 89, Fort Myers, FL 33907-3989 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144232885 | Jeff Neal Melvin | Psychologist | 13670 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4346 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142463 | Krecer Psychological Services, LLC | Psychologist | 2015 Meadow Pond Way, Orlando, FL 32824-5060 | 2020-10-20 |
| 1912525866 | Vicky Wolfe | Psychologist | 203 Hollywood Blvd Ne, Fort Walton Beach, FL 32548-5775 | 2020-07-08 |
| 1144841727 | Chalfin Psychology Services, Inc. | Psychologist | 7800 Sw 57th Ave Ste 114, South Miami, FL 33143-5543 | 2020-05-05 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1447765631 | Cristina Anderson | Psychologist | 3081 Salzedo St Ste 202, Coral Gables, FL 33134-6725 | 2017-12-10 |
| 1073028734 | Audra Walsh, Phd, LLC | Psychologist | 1039 Park St N, St Petersburg, FL 33710-4317 | 2017-12-04 |
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1124574595 | Michelle C Fernandez | Psychologist | 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 | 2016-08-26 |
| 1952764060 | Penelope L. Norton, Phd | Psychologist | 555 W Granada Blvd Ste E3, Ormond Beach, FL 32174-9401 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.