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MARISSA A MANN
NPI 1104572759
Speech-Language Pathologist in Brooklyn, NY

Active since February 22, 2022
1357 E 40TH ST, BROOKLYN, NY 11234(718) 249-7895 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marissa A Mann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA A MANN (NPI 1104572759) is an individual speech-language pathologist provider in Brooklyn, New York and active in the NPI registry since February 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1104572759
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARISSA A MANN
Location Address1357 E 40TH STBrooklyn, NY 11234-2902
Mailing Address1357 E 40th StBrooklyn, NY 11234-2902 · (718) 249-7895
Phone(718) 249-7895
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1104572759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1357 E 40TH ST, Brooklyn, NY 11234
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa A Mann is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416445713
PECOS Enrollment IDI20251020000814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Mann's NPI number?

The NPI number for Marissa Mann is 1104572759. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Marissa Mann located?

Marissa Mann practices at 1357 E 40th St, Brooklyn, NY 11234. The listed phone number is (718) 249-7895.

What is Marissa Mann's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Marissa Mann enrolled in Medicare?

Yes. Marissa Mann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Mann was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.