Marissa Hudak Witt-Doerring, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0087442 Issued in MD

Practice address

345 W 600 S Ste 147
Heber City, UT 84032-2247

Phone

(435) 800-4047

Fax

(985) 244-2466

NPI assigned

Apr 29, 2015

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

Other names 1

• Marissa Lauren Hudak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 7, 2020 through Dec 7, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Witt-Doerring Psychiatric Consulting, LLC

  • Psychiatry Physician
  • Heber City, UT
  • NPI 1467038851
  NPD Authorized official

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1841677820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 147",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322247",
            "telephone_number": "435-800-4047",
            "fax_number": "985-244-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 147",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322247",
            "telephone_number": "435-800-4047",
            "fax_number": "985-244-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10045 Baltimore National Pike # A71116",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423673",
            "country_code": "US",
            "telephone_number": "281-962-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 Lincoln Hwy # 143",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "19056",
            "country_code": "US",
            "telephone_number": "281-962-8399",
            "fax_number": "985-244-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT-DOERRING",
        "first_name": "MARISSA",
        "middle_name": "HUDAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0087442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HUDAK",
            "middle_name": "LAUREN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Douglas Wiliiams, CRNA
• Jamie Marie Wilkey, RPH
• Tina L Williams
• Megan Wilmarth, RN
• Witt-Doerring Psychiatric Consulting, LLC
• Kade Wood
• Sheryl L. Wood, R.N., BSN
• Wow Medical LLC (Wasatch Family and Women's Health)
• Jack Wright
• Judd M Wright, PHARMD

• Psychiatry Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.