Active NPI
Marissa M Gomez Schursky, LMFT
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1497269286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001450
- Practice address
- 928 Broadway Ste 304
New York, NY 10010-8154 - Phone
- (516) 241-9083
- NPI assigned
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001450 | NY | Primary |
Addresses
Primary practice location
928 Broadway Ste 304
New York, NY 10010-8154
Mailing address
2050 29TH St Apt 4a
Astoria, NY 11105-2567
Phone (516) 241-9083
Other practice location 1
2050 29th St Apt 4A
Astoria, NY 11105-2567
Phone (516) 241-9083
Other practice location 2
125 E 23rd St Ste 400
New York, NY 10010-4582
Phone (516) 241-9083
Other practice location 3
80 5th Ave Rm 903B
New York, NY 10011-7611
Phone (516) 241-9083
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1497269286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 29TH ST APT 4A",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052567",
"telephone_number": "516-241-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108154",
"telephone_number": "516-241-9083"
}
],
"practiceLocations": [
{
"address_1": "2050 29th St Apt 4A",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111052567",
"country_code": "US",
"telephone_number": "516-241-9083",
"fax_number": "516-241-9083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 E 23rd St Ste 400",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100104582",
"country_code": "US",
"telephone_number": "516-241-9083",
"fax_number": "516-241-9083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 5th Ave Rm 903B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100117611",
"country_code": "US",
"telephone_number": "516-241-9083",
"fax_number": "516-241-9083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ SCHURSKY",
"first_name": "MARISSA",
"middle_name": "M",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.