Individual provider Active NPI

Natasha Marrero-Sierra, MD

  • Clinical Psychologist
  • Howell, MI
National Provider Identifier
1801401195
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6362009216 Issued in MI
Practice address
809 E Grand River Ave Ste B
Howell, MI 48843-2500
Phone
(517) 376-3002
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6362009216 MI Primary

Addresses

Primary practice location

809 E Grand River Ave Ste B
Howell, MI 48843-2500

Mailing address

809 E Grand River Ave Ste B
Howell, MI 48843-2500

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6362009216MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Counseling and Psychological Services PC Clinical CurrentSince Sep 20, 2020 Accepting new patients

Locations

809 E Grand River Ave
Ste B
Howell, MI 48843
Phone (517) 376-3002

745 S Walnut St
Howell, MI 48843
Phone (201) 730-2462

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.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1801401195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E GRAND RIVER AVE STE B",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E GRAND RIVER AVE STE B",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432500",
            "telephone_number": "517-376-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO-SIERRA",
        "first_name": "NATASHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.