Katherine Marnucci, N.Y.S. LICENSES PSYC

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000085 Issued in NY

Practice address

175 East 96 Street
(Apt 15K)
New York, NY 10128

Phone

(212) 534-3332

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1851413256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EAST 96 STREET",
            "address_2": "(APT 15K)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-534-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EAST 96 STREET",
            "address_2": "(APT 15K)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-534-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNUCCI",
        "first_name": "KATHERINE",
        "credential": "N.Y.S. LICENSES PSYC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000085",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "VT",
            "license": "098000102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "RN1843534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOANALYST",
            "identifier": "NCPSYA P90165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marmur Dermatology and Cardiology, PLLC
• Ellen S Marmur, M.D.
• Jessica Loo Marn, DDS
• Richard Y Marn, M.D.
• Alexander Marneros
• Anna Maro, MD
• Patrice Maro, PA
• Marobanlcsw PC
• Michael Zachary Maroer, D.D.S.
• Ana V Maroldi, PA

• Psychoanalyst in New York, NY
• Providers in New York, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.