Marissa Eileen Patrick, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1216 Hillcrest Dr
Sherman, TX 75092-5507

Phone

(903) 893-7457

NPI assigned

Jun 2, 2014

Last updated

Jun 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Eileen Mungle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Inspired Speech Journey

  • Speech-Language Pathologist
  • Melissa, TX
  • NPI 1215380993
  NPD (past) Authorized official
• The Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Sherman, TX
  • NPI 1851781421
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1053723510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BAYLOR RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542180",
            "telephone_number": "205-821-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 HILLCREST DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925507",
            "telephone_number": "903-893-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "MARISSA",
        "middle_name": "EILEEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "MUNGLE",
            "middle_name": "EILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronak Jashvantray Patel, M.D.
• Pratima Pathak
• Shubhangi Himanshu Patil, REGISTERED NURSE
• Patrick Henry Medical LLC (Breath of Life)
• Patrick J Cindrich MD PA
• Patterson Optical, P.a.
• Dennis Gene Patterson, O.D.
• Precious Patterson
• Ericka Paulin, RN
• Sirisha Pavuluri

• Speech-Language Pathologist in Sherman, TX
• Providers in Sherman, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.