Kerri Anne Marucco

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH003261 Issued in PA

Practice address

20B E Roseville Rd
Lancaster, PA 17601-3868

Phone

(717) 560-2372

Fax

(717) 560-2027

NPI assigned

Jan 13, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pennsylvania Comprehensive Behavioral Health Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Red Lion, PA
  • NPI 1114980489
  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1992394027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20B E ROSEVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013868",
            "telephone_number": "717-560-2372",
            "fax_number": "717-560-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20B E ROSEVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013868",
            "telephone_number": "717-560-2372",
            "fax_number": "717-560-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCCO",
        "first_name": "KERRI",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Martinez, M.D.
• Lauren Martinez
• Stacy L Martinez, LSW
• Enrico E Martini, MD
• Anthony Mark Marucco, LCSW
• Madeline Marvel
• Ajay R. Marwaha, M.D.
• Mary Elizabeth Marzulli, PT
• Alyssa Marzullo
• Brooke Masden

• All providers in Lancaster, PA
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.