Marissa Owsianik, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3316 Issued in CT

Practice address

446A Blake St
Suite 200
New Haven, CT 06515-1286

Phone

(203) 387-9400

Fax

(888) 772-2160

NPI assigned

Jun 17, 2013

Last updated

Nov 9, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1467482539
  NPD
• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1558366757
  NPD
• Integrated Wellness Group, LLC

  • Clinical Child & Adolescent Psychologist
  • New Haven, CT
  • NPI 1003096744
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415491200000",
    "number": "1730528431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446A BLAKE ST",
            "address_2": "SUITE 200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151286",
            "telephone_number": "203-387-9400",
            "fax_number": "888-772-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446A BLAKE ST",
            "address_2": "SUITE 200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151286",
            "telephone_number": "203-387-9400",
            "fax_number": "888-772-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWSIANIK",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2014-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020066",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "3316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ouellet, MD
• Maggie May Oumov, RN
• Shavonne Larcenia Overton
• Brittany Taylor Owen, RN, BSN
• Rena M Owens, LADC
• Matilda Aboagywaah Owuo, DO
• Daniel Kwame Owusu
• Kent Owusu, PHARMD
• Zeynep Irem Ozay, MD
• Elise Victoria Ozbardakci

• Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.