Marina Michaelovna Nell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

Q1868 Issued in TX

Practice address

400 N Loop 1604 E Ste 125
San Antonio, TX 78232-1255

Phone

(210) 510-2868

NPI assigned

May 11, 2010

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 3, 2017 through Feb 3, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nell Medical Group, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
  • NPI 1114323466
  NPD (past) Authorized official

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1518285840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321255",
            "telephone_number": "210-510-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321255",
            "telephone_number": "210-510-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELL",
        "first_name": "MARINA",
        "middle_name": "MICHAELOVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q1868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treva L. Neiss, LCSW
• Fattollah Nejat-Bakhsh, DC
• Martin James Nejat, M.D.
• Saeid Nekoueian, NP
• Nell Medical Group, P.a.
• Nelson Chiropractic, PC (Performance Sports Chiropratic, PC)
• Teneshia S Nelson-Hodges, D.D.S.
• Aaron Nelson
• Amanda C Nelson, LPC-ASSOCIATE, M.A.
• Barbara Louise Nelson, LP

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.