Mariposa Therapy & Assessment, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60498191 Issued in WA

Legal business name

MARIPOSA THERAPY & ASSESSMENT, PLLC

Practice address

4545 42ND St NW Ste 302
Washington, DC 20016-4623

Phone

(206) 486-2656

Fax

(866) 635-1172

NPI assigned

Jul 17, 2018

Last updated

Jul 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marta Miranda, PSY.D.NPI 1548676331

Title

Owner

Phone

(206) 486-2656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marta Miranda, PSYD

  • Clinical Psychologist
  • Washington, DC
  • NPI 1548676331
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1710463385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 42ND ST NW STE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164623",
            "telephone_number": "206-486-2656",
            "fax_number": "866-635-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 42ND ST NW STE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164623",
            "telephone_number": "206-486-2656",
            "fax_number": "866-635-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA THERAPY & ASSESSMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-486-2656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60498191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Dolores Marinaro
• Joyce Rachel Maring, PT
• Nicholas Marinkovich, M.D.
• Gustavo Alfonso Marino, M.D.
• Philip Marion, MD
• Nura Mariscal del Moral, PT, DPT
• Marissa R. O'Malia PC
• Marjorie B. McKnight MD PC (Zarminali Pediatrics)
• Marjul Homes Inc.
• Mark M. Sklar, M.D., PLLC

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.