NPIMap

Organization Active NPI

Personalized Psychological Consulting LLC

  • Clinical Psychologist
  • Walpole, MA
National Provider Identifier
1902444268
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PERSONALIZED PSYCHOLOGICAL CONSULTING LLC
Practice address
12 Elmcrest Cir
Walpole, MA 02081-1905
Phone
(914) 438-5236
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Dr. Julion Padraic Marrinan, PSY.D.NPI 1225412687
Title
Owner
Phone
(914) 438-5236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

12 Elmcrest Cir
Walpole, MA 02081-1905

Mailing address

12 Elmcrest Cir
Walpole, MA 02081-1905
Phone (914) 438-5236

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1902444268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELMCREST CIR",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811905",
            "telephone_number": "914-438-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELMCREST CIR",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811905",
            "telephone_number": "914-438-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PSYCHOLOGICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "MARRINAN",
        "authorized_official_first_name": "JULION",
        "authorized_official_middle_name": "PADRAIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-438-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.