Active NPI
Marissa Robinson, PH.D.
- School Psychologist
- Greenville, SC
National Provider Identifier
1508318361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1419
- Practice address
- 420 E Park Ave
Suite 304
Greenville, SC 29601-2257 - Phone
- (864) 569-7768
- Fax
- (864) 252-9297
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1419 | SC | Primary |
Addresses
Primary practice location
420 E Park Ave
Suite 304
Greenville, SC 29601-2257
Mailing address
420 E Park Ave
Suite 304
Greenville, SC 29601-2257
Phone (864) 569-7768
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1419 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1508318361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E PARK AVE",
"address_2": "SUITE 304",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012257",
"telephone_number": "864-569-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E PARK AVE",
"address_2": "SUITE 304",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012257",
"telephone_number": "864-569-7768",
"fax_number": "864-252-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "1419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.