MARISSA INGRAM
NPI 1235834383
Day Training/Habilitation Specialist in Santa Rosa, CA

Active since March 30, 2023
100 CHILDRENS CIR, SANTA ROSA, CA 95409(707) 565-6322 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Ingram NPPES

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

MARISSA INGRAM (NPI 1235834383) is an individual day training/habilitation specialist in Santa Rosa, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1235834383
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameMARISSA INGRAM
Location Address100 CHILDRENS CIRSanta Rosa, CA 95409-6558
Mailing Address100 Childrens CirSanta Rosa, CA 95409-6558 · (707) 565-6322
Sole ProprietorNo
Enumeration DateMarch 30, 2023
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1235834383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
100 CHILDRENS CIR, Santa Rosa, CA 95409

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Counselor (Mental Health)
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Residential Treatment Facility, Emotionally Disturbed Children
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Social Worker (Clinical)
100 CHILDRENS CIR
SANTA ROSA, CA 95409

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 Ingram's NPI number?

The NPI number for Marissa Ingram is 1235834383. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Marissa Ingram located?

Marissa Ingram practices at 100 Childrens Cir, Santa Rosa, CA 95409. The listed phone number is (707) 565-6322.

What is Marissa Ingram's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Marissa Ingram was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.