Maria Marino and Associates

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LICSW 13814 Issued in MN

Legal business name

MARIA MARINO AND ASSOCIATES

Practice address

3300 County Road 10
Brooklyn Center, MN 55429-3072

Phone

(612) 719-7298

Fax

(763) 898-3584

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Maria Eugenia Tatzmann, MSW, LICSW

Title

Owner

Phone

(612) 719-7298

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1063964286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 100TH LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554435700",
            "telephone_number": "612-719-2842",
            "fax_number": "763-898-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "612-719-7298",
            "fax_number": "763-898-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA MARINO AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "TATZMANN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-719-7298",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "LICSW 13814",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "13814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DO H Mai, DDS
• Malaika Health and Wellness LLC
• Jennifer Barnes Manning
• Jagadish Marahatta, DDS
• Nikki L Marcellino, PA
• Rosa Marroquin
• Todd William Marshall, DDS
• Phillip Blair Martelly I
• Thomas Martens
• Robert R. Martin, D.C

• Adult Mental Health Clinic/Center in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.