Active NPI
Kristen Marvinney, ED.S., NCSP
- School Psychologist
- Ravenna, OH
National Provider Identifier
1548667686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH3093937
- Practice address
- 3590 State Route 59
Ravenna, OH 44266-1380 - Phone
- (330) 297-6708
- NPI assigned
- Dec 3, 2014
- 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 | OH3093937 | OH | Primary |
Addresses
Primary practice location
3590 State Route 59
Ravenna, OH 44266-1380
Mailing address
3590 State Route 59
Ravenna, OH 44266-1380
Phone (330) 297-6708
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3093937 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravenna City School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Ravenna, OH
- NPI 1164633426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1548667686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 STATE ROUTE 59",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442661380",
"telephone_number": "330-297-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 STATE ROUTE 59",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442661380",
"telephone_number": "330-297-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVINNEY",
"first_name": "KRISTEN",
"credential": "ED.S., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH3093937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.