MR. REGINALD E MARSACK (NPI# 1952370579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952370579 |
| Entity Type | Individual |
| Full Name | MR. REGINALD E MARSACK |
| Credential | LLP |
| Practice Address |
33101 Annapolis St Wayne MI 48184-2405 |
| Mailing Address |
33054 Grennada St Livonia MI 48154-4171 |
| Practice Telephone | 7347210200 |
| Mailing Telephone | 7343064427 |
| Enumeration Date | 2006-03-16 |
| 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 |
6301007086 | MI | Behavioral Health & Social Service Providers |
| Street Address |
33101 ANNAPOLIS ST |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003386996 | Nergis Jassim | Occupational Therapist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2018-12-04 |
| 1164603817 | Padma Surapaneni | Psychiatry & Neurology | 33101 Annapolis St, Wayne, MI 48184-2405 | 2007-11-23 |
| 1730380262 | Erma Owens | Registered Nurse | 33101 Annapolis St, Wayne, MI 48184-2405 | 2007-05-31 |
| 1548309065 | Donna La Jean Cobb | Registered Nurse | 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 | 2007-02-05 |
| 1720167166 | Janice Marie Kornacki | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-11-05 |
| 1790865772 | Ernest Bart | Counselor | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-16 |
| 1396833901 | Nancy L Mcclure | Social Worker | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-10 |
| 1104913177 | Thomas Edward Haefner | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-09 |
| 1790879021 | Brenda Renee Scoggins | Social Worker | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-03 |
| 1285698159 | Brenda A Boudreaux | Social Worker | 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1245744614 | Brian Mcmanus | Psychologist | 121 N Wayne Ave Ste 304, Wayne, PA 19087-3542 | 2017-11-21 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| 1750723318 | Rebecca Cowell | Psychologist | 34826 Richard St, Wayne, MI 48184-2332 | 2013-07-24 |
| 1811207947 | Andrew Hathorn Mcmeekin Sr. | Psychologist | 121 N. Wayne Ave, Suite 300, Wayne, PA 19087 | 2010-10-07 |
| 1760656599 | Linda A May | Psychologist | 6 Radnor Way Ofc Building, Wayne, PA 19087-5134 | 2008-04-14 |
| 1568670222 | Pilar Poal | Psychologist | 987 Old Eagle School Road, Suite 719, Evolve Corporate Center East, Wayne, PA 19087 | 2007-05-18 |
| 1770701567 | Adelina Smith | Psychologist | 201 Pennsylvania Ave, Wayne, PA 19087-3539 | 2007-04-24 |
| 1598980757 | Donna M Cangelosi | Psychologist | 3 Swiss Ter, Wayne, NJ 07470-4239 | 2007-04-14 |
| 1124142468 | Bfc Networks, Ltd | Psychologist | 939 Radnor Rd, Wayne, PA 19087-2701 | 2007-03-19 |
| Find all providers in WAYNE | ||||
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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.