Marla Beth Allen

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2898866 Issued in NY

Practice address

8282 Willett Pkwy
Baldwinsville, NY 13027-1306

Phone

(315) 857-0800

NPI assigned

Apr 3, 2020

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

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1942839733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MOSLEY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063113",
            "telephone_number": "785-821-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 WILLETT PKWY",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271306",
            "telephone_number": "315-857-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARLA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "180147571",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "KS",
            "license": "7324878156",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2898866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan D Abbey, DPT
• Christina Addario, R.N.
• Advantage Physical Therapy
• Lucrecia C Agcaoili-White, OT
• Vicki Aldrich
• Jamie Lynn Amery, RN
• Alea Amyot
• Emarsharae Anderson-Samin, DMD
• Mary Kathleen Anderson
• Sandra Jayne Annicharico, R.N.

• All providers in Baldwinsville, NY
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.