Enitan Temitayo Marcelle

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

026012 Issued in NY

Practice address

102 Bristol St
Brooklyn, NY 11212-6014

Phone

(718) 207-9884

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Meridian Child Psychology

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1295606986
  NPD Authorized official

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1497307300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRISTOL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126014",
            "telephone_number": "718-207-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLE",
        "first_name": "ENITAN",
        "middle_name": "TEMITAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026012",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "026012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie J Marcelin, LPN
• Marleine Marcelin
• Michael Marcelin
• Aliseia Marcelle
• Deandra S Marcelle
• Karla-Marie Marcelle
• Marcello Sarrica P.T., P.C.
• Judeline Marcello-Smith, NP
• Francesco Marcello
• Erla Rose Marcellus-Vaz

• Clinical Neuropsychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.