Individual provider Active NPI

George Charles Marinakis, PHD

  • Group Psychotherapy Psychologist
  • Reading, MA
National Provider Identifier
1346365012
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
4880 Issued in MA
Practice address
36 Woburn St
The Academy North
Reading, MA 01867
Phone
(781) 942-9277
Fax
(781) 944-6535
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4880 MA
Clinical Child & Adolescent Psychologist 103TC2200X 4880 MA
Group Psychotherapy Psychologist 103TP2701X 4880 MA Primary

Addresses

Primary practice location

36 Woburn St
The Academy North
Reading, MA 01867

Mailing address

417 Summer Ave
Reading, MA 01867
Phone (781) 944-3451

Other identifiers 1

IdentifierTypeStateIssuer
4880OtherMALICENSED PSYCHOLOGIST PRO

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4880MAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346365012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SUMMER AVE",
            "city": "READING",
            "state": "MA",
            "postal_code": "01867",
            "telephone_number": "781-944-3451",
            "fax_number": "781-944-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WOBURN ST",
            "address_2": "THE ACADEMY NORTH",
            "city": "READING",
            "state": "MA",
            "postal_code": "01867",
            "telephone_number": "781-942-9277",
            "fax_number": "781-944-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINAKIS",
        "first_name": "GEORGE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4880",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "4880",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST PRO",
            "identifier": "4880",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.