Provider Type Icon

MARINO FOUNDATION FOR INTEGRATIVE MEDICINE INC. NPI 1477662237


NPI Information

NPI: 1477662237
Provider Name: MARINO FOUNDATION FOR INTEGRATIVE MEDICINE, INC.

Doing Business As: THE MARINO CENTER FOR INTEGRATIVE HEALTH

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
2500 MASSACHUSETTS AVENUE
CAMBRIDGE, MA
ZIP 02140
Phone: (617) 661-6225
Get Directions

MARINO FOUNDATION FOR INTEGRATIVE MEDICINE, INC. is a psychologist in Cambridge, MA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MARINO FOUNDATION FOR INTEGRATIVE MEDICINE, INC. NPI is 1477662237. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Marino Center For Integrative Health.

The provider's business location address is:

2500 MASSACHUSETTS AVENUE
CAMBRIDGE, MA
ZIP 02140
Phone: (617) 661-6225
Fax: (617) 492-2002

The provider's authorized official is Robert Denoble .
The authorized official title is Ceo/president and has the following contact phone number (617) 661-6225.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 12/2/2010.


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
1104100000XSocial Worker4804MASSACHUSETTSNo
2111N00000XChiropractor4804MASSACHUSETTSNo
3133V00000XDietitian, Registered4804MASSACHUSETTSNo
4163W00000XRegistered Nurse4804MASSACHUSETTSNo
5207Q00000XFamily Medicine4804MASSACHUSETTSNo
6207R00000XInternal Medicine4804MASSACHUSETTSNo
7207V00000XObstetrics & Gynecology4804MASSACHUSETTSNo
8208100000XPhysical Medicine & Rehabilitation4804MASSACHUSETTSNo
92084N0400XPsychiatry & NeurologyNeurology4804MASSACHUSETTSNo
102084P0800XPsychiatry & NeurologyPsychiatry4804MASSACHUSETTSNo
11225100000XPhysical Therapist4804MASSACHUSETTSNo
12363L00000XNurse Practitioner4804MASSACHUSETTSNo
13103T00000XPsychologist4804MASSACHUSETTSYes

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
1805470AOTHERMASSACHUSETTSTUFTS -PT
2M21670MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE
32521043OTHERMASSACHUSETTSAETNA
431805OTHERMASSACHUSETTSFALLON
5M17120OTHERMASSACHUSETTSBCBS
6601647OTHERMASSACHUSETTSTUFTS HEALTH PLAN
75716242OTHERMASSACHUSETTSCIGNA
8601647OTHERMASSACHUSETTSTUFTS - OTHER
9805636OTHERMASSACHUSETTSTUFTS - CHIRO

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.