Marvin Behavioral Health Mi PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MARVIN BEHAVIORAL HEALTH MI PC

Practice address

2900 West Rd Ste 500
East Lansing, MI 48823-6386

Phone

(617) 249-6854

NPI assigned

Apr 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aparna Atluru

Title

President

Phone

(617) 249-6854

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1003497868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 DEL REY AVE STE 626",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WEST RD STE 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236386",
            "telephone_number": "617-249-6854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Shelby St Ste 700 PMB 298",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482263282",
            "country_code": "US",
            "telephone_number": "610-937-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARVIN BEHAVIORAL HEALTH MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ATLURU",
        "authorized_official_first_name": "APARNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-249-6854"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Ott Marske
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• Andrea Martineau, LMSW
• Brenda Martinez-Garcia
• Mary D Hunt D O PLLC
• Sarah Masalkoski
• James Michael Mashni, DDS
• Jason Mashni, DDS
• John Wadie Mashni, D.D.S.

• Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.