Marisa Wileatha Glivings, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29967 Issued in CA

Practice address

41990 Cook St BLDG F
Palm Desert, CA 92211-6100

Phone

(707) 341-5570

NPI assigned

Jan 24, 2019

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1548724545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FAIR OAKS BLVD # 117",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST BLDG F",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "707-341-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIVINGS",
        "first_name": "MARISA",
        "middle_name": "WILEATHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Gileno, LMFT
• Brent Gilliard
• Anne E Gimbel, LMFT
• Steven Louis Ginex, D.P.M.
• Jose Israel Glavey Mendoza
• Riya Gloyd
• GN Hearing Care Corp (Beltone Electronics Corp)
• Go Healthcare, Inc.
• Nelson T Goff, D.C., CCSP
• Tina Goldberg, L A.C.

• Clinical Psychologist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.