Dr MMP Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

4127 Issued in MA

Legal business name

DR MMP SERVICES

Practice address

5 Crowley Rd
Westhampton, MA 01027-9637

Phone

(413) 222-1959

NPI assigned

Mar 13, 2015

Last updated

Dec 2, 2022By 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

Dr. Marilyn A Micka-Pickunka, ED.D, OTR/LNPI 1407977028

Title

Owner

Phone

(413) 222-1959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn A Micka-Pickunka, MA OTR/L

  • Occupational Therapist
  • Northampton, MA
  • NPI 1407977028
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1376936435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CROWLEY RD",
            "city": "WESTHAMPTON",
            "state": "MA",
            "postal_code": "010279637",
            "telephone_number": "413-222-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CROWLEY RD",
            "city": "WESTHAMPTON",
            "state": "MA",
            "postal_code": "010279637",
            "telephone_number": "413-222-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MMP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "MICKA-PICKUNKA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-222-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica L Allen
• Atc Travelers Nurses & Allied Professionals
• Rhonda Goodspeed Brooks, MS OTR/L
• Gillian Daley
• Courtney Doyle-Campbell, PHARMD
• Lisa A Duval-Kennedy, M.D.
• Denise Greenwood, SLP
• Hampshire Regional School District
• Catherine Hondorp, D.C.
• MC Medical Services PLLC

• Specialist in Westhampton, MA
• Providers in Westhampton, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.