Marisa Katz, MA, PD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

823630 Issued in NY

Practice address

3 Gingerbread LN
East Hampton, NY 11937-2480

Phone

(917) 371-6668

NPI assigned

Dec 7, 2023

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1811764095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GINGERBREAD LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372480",
            "telephone_number": "917-371-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GINGERBREAD LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372480",
            "telephone_number": "917-371-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "MA, PD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "823630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Jimenez, MSW, MA
• Edward Jones, LP
• Judith Jordan, LCSW
• Allison Karlin, OTR/L
• Alan Katz, D.D.S.
• John Charles Kavanaugh, D.C.
• Nancy Patricia Keegan
• Chris Choi Keizerstein
• Valerie King, PH.D.
• Kinga Koreh, MD

• School Psychologist in East Hampton, NY
• Providers in East Hampton, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.