Active NPI
Marissa Elizabeth Jarrett, PSY.D.
- Clinical Psychologist
- Mechanicsville, VA
National Provider Identifier
1083973275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004503
- Practice address
- 9097 Atlee Station Rd
Suite 219
Mechanicsville, VA 23116-2525 - Phone
- (804) 730-0432
- NPI assigned
- May 9, 2012
- Last updated
- Dec 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004503 | VA | Primary |
Addresses
Primary practice location
9097 Atlee Station Rd
Suite 219
Mechanicsville, VA 23116-2525
Mailing address
15521 Midlothian Tpke
Suite 105
Midlothian, VA 23113-7312
Phone (804) 423-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004503 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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 LifeStance Health
- Clinical Psychologist
- Mechanicsville, VA
- NPI 1851345805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1083973275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15521 MIDLOTHIAN TPKE",
"address_2": "SUITE 105",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231137312",
"telephone_number": "804-423-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9097 ATLEE STATION RD",
"address_2": "SUITE 219",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162525",
"telephone_number": "804-730-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "MARISSA",
"middle_name": "ELIZABETH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.