Active NPI
Kristine Marie Marinelli, M.D.
- Psychiatry Physician
- Hudson, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35098339
- Practice address
- 5655 Hudson Dr
305
Hudson, OH 44236-4451 - Phone
- (330) 650-2111
- Fax
- (330) 650-2211
- NPI assigned
- Apr 30, 2009
- Last updated
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35098339 | OH | Primary |
Addresses
Primary practice location
5655 Hudson Dr
305
Hudson, OH 44236-4451
Mailing address
5655 Hudson Dr
Suite 305
Hudson, OH 44236-4451
Phone (330) 650-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3825 Fishcreek Rd
Stow, OH 44224-4316
525 E Market St
Akron, OH 44304-1619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35098339 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Portage Path Behavioral Health | Past | Accepting new patients | |
| Portage Path Community Mental Health Center | Past | Accepting new patients | |
| Summa Physicians LLC | Psychiatry | Past | Accepting new patients |
| Portage Path Behavioral Health | Past | Accepting new patients |
Locations
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
5655 Hudson Dr
Ste 305
Hudson, OH 44236
Phone (330) 650-2111
Interoperability endpoints
- kmarinelli26961@summahealth-direct.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summa Health Medical Group
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
-
dba Summa Health Medical Group
- Endocrinology, Diabetes & Metabolism Physician
- Akron, OH
- NPI 1013191709
-
dba Summa Health Medical Group
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Akron, OH
- NPI 1114492147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1881643633
-
dba Portage Path Behavioral health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1225087802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1043454382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 HUDSON DR",
"address_2": "SUITE 305",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364451",
"telephone_number": "330-650-2111",
"fax_number": "330-650-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5655 HUDSON DR",
"address_2": "305",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364451",
"telephone_number": "330-650-2111",
"fax_number": "330-650-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINELLI",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-30",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35098339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.