HOLLY MARINI APRN LADC RN NPI 1073531927

NPI Information

NPI: 1073531927
Provider Name: HOLLY MARINI, APRN, LADC, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: KEY THERAPY LLC

PECOS Registration: Yes

Address:
949 BRIDGEPORT AVE
MILFORD, CT
ZIP 06460
Phone: (203) 878-6365
Get Directions

Holly Marini, APRN, LADC, RN is a psychiatric/mental health nurse practitioner in Milford, CT with 28 years of experience. Holly Marini, APRN, LADC, RN NPI is 1073531927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

949 BRIDGEPORT AVE
MILFORD, CT
ZIP 06460-142
Phone: (203) 878-6365

The NPI 1073531927 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 10/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000579	CONNECTICUT	No
2	163W00000X	Registered Nurse		R29021	CONNECTICUT	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	001492	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000254423	OTHER	CONNECTICUT	UNITED BEHAVIORAL HEALTH
2	P00098065	OTHER	CONNECTICUT	RAILROAD MEDICARE
3	311160	OTHER		HEALTHNET/MHN
4	400001492CT03	OTHER	CONNECTICUT	ANTHEM
5	004039244	MEDICAID	CONNECTICUT
6	235142	OTHER	CONNECTICUT	COMPSYCH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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