Marion Fitzsimmons, PHD, NP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010873 Issued in NY

Practice address

2075 Scottsville Rd.
Crestwood Children's Center
Rochester, NY 14609

Phone

(585) 429-2740

Fax

(585) 429-2800

NPI assigned

Oct 11, 2006

Last updated

Nov 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Rochester School of Medicine and Dentistry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tanvir Shagar NP in Family Health PLLCGroup PAC ID 1658775606, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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.

• Tanvir Shagar NP in Family Health PLLC

  dba Adapt Wellness Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1871160515
  Medicare reassignment Care Compare group NPD
• Jotno Family Health Nurse Practitioner PLLC

  dba Kura

  • Nurse Practitioner
  • Buffalo, NY
  • NPI 1013774363
  NPD
• Hillside Childrens Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rochester, NY
  • NPI 1215025523
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1316035553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14609",
            "telephone_number": "585-429-2740",
            "fax_number": "585-429-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD.",
            "address_2": "CRESTWOOD CHILDREN'S CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14609",
            "telephone_number": "585-429-2740",
            "fax_number": "585-429-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "PHD, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010873",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Fitzpatrick, BSN RN
• Margaret Fitzpatrick
• Maria R Fitzpatrick, OTR/L
• Patricia G Fitzpatrick, M.D.
• Kristin L Fitzsimmons, PA
• Christine Giselle Fitzstevens, LCSWR
• Five Star Medical Transportation, LLC
• Five Star Medical Transportationllc (5Star Medical Transport)
• Amy L Fix, M.D.
• Shawn Flader, PT, DPT

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.

Verify at the official NPI Registry.