Individual provider Active NPI

Steven Andrew Marrinson, PH.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1326101650
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY000556 Issued in GA
Practice address
7170 E Tierra Buena LN Apt 424
Scottsdale, AZ 85254-3152
Phone
(404) 717-7041
Fax
(678) 317-9051
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY000556 GA Primary

Addresses

Primary practice location

7170 E Tierra Buena LN Apt 424
Scottsdale, AZ 85254-3152

Mailing address

6 Tallullah Cir
Valdosta, GA 31602-7242
Phone (404) 717-7041

Other identifiers 3

IdentifierTypeStateIssuer
227511300DOtherGAOWCP
680014338OtherGARAILROAD MEDICARE
00160223CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109002004 AZ Practitioner - Clinical Psychologist 0244356533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Scottsdale, AZ 85254
Phone (404) 717-7041

7170 E Tierra Buena LN Apt
Suite 424
Scottsdale, AZ 85254-3152

Merit-based Incentive Payment System (MIPS)

Final score
76.77 of 100Reported as individual
Quality
50
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Keys Counseling Center, Inc. Clinical PastSince Jan 19, 1995 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drstevenmarrinsonphdpc.stevenmarrinson@143128.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1326101650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TALLULLAH CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027242",
            "telephone_number": "404-717-7041",
            "fax_number": "678-317-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 E TIERRA BUENA LN APT 424",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543152",
            "telephone_number": "404-717-7041",
            "fax_number": "678-317-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRINSON",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY000556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "227511300D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680014338",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00160223C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.