Marie Green Psychiatric Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MARIE GREEN PSYCHIATRIC CENTER

Practice address

300 E 15TH St
Merced, CA 95341-6217

Phone

(209) 381-6800

NPI assigned

Oct 2, 2010

Last updated

Oct 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Shouettler

Title

Manager

Phone

(209) 381-6800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1144539545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 15TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416217",
            "telephone_number": "209-381-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE GREEN PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "SHOUETTLER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-381-6800"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Marania, MD
• Victor Joseph Marchini Jr., LMFT
• Kristina Marguerita
• Maria Fernandez Renedo MD Inc
• Marie Green Psychiatric Center
• Marie Green Psychiatric Center
• Marie Green Psychiatric Center Merced
• Marie Green Psychiatric Hospital
• Marie Green Psychiatric Hospital
• Valeria Marin

• Mental Illness Community Based Residential Treatment Facility in Merced, CA
• Providers in Merced, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; 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.