KYRSTINA HUDSON MARIOUW PH.D
NPI 1487054441
Clinical Neuropsychologist in Troy, MI

Q: What is Kyrstina Mariouw's NPI number?

The NPI number for Kyrstina Mariouw is 1487054441. It was assigned to this individual provider in the NPPES registry on August 27, 2014. The provider is also known as Kyrstina Hudson.

Q: What is Kyrstina Mariouw's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyrstina Mariouw was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since August 27, 2014

3290 W BIG BEAVER RD STE 150, TROY, MI 48084(248) 792-6527(248) 792-9106 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kyrstina Hudson Mariouw Ph.d NPPES

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

KYRSTINA HUDSON MARIOUW PH.D (NPI 1487054441) is an individual clinical neuropsychologist in Troy, Michigan, licensed in Michigan (6301018301) and active in the NPI registry since August 2014. She maintains a secondary practice location in Emeryville.

NPPES Registry Identity

NPI1487054441

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameKYRSTINA HUDSON MARIOUWCredential: PH.D

Location Address3290 W BIG BEAVER RD STE 150Troy, MI 48084-2931

Mailing Address1335 Sheehan AveAnn Arbor, MI 48104-3837

Phone(248) 792-6527

Fax(248) 792-9106

Sole ProprietorNo

Enumeration DateAugust 27, 2014

Last NPPES UpdateDecember 8, 2020

NPPES CertifiedDecember 8, 2020

✔ NPI 1487054441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301018301

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3290 W BIG BEAVER RD STE 150, Troy, MI 48084

Open in Google Maps ↗

Other Names 1

Former Name (1)Kyrstina Hudson

Secondary Practice Location 1

Location 11375 55th StEmeryville, CA 94608-2609 · Phone (510) 655-7880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Other Providers at the Same Location NPPES 3

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

RYLIE RUSS PA-C

Physician Assistant

3290 W BIG BEAVER RD STE 150
TROY, MI 48084

Oakland County (248) 792-6257

ELLEN TAN MSN, APRN, FNP-C

Nurse Practitioner (Family)

3290 W BIG BEAVER RD STE 150
TROY, MI 48084

Oakland County (248) 792-6527

JAYANT JAGANNATHAN MD

Neurological Surgery

3290 W BIG BEAVER RD STE 150
TROY, MI 48084

Oakland County (248) 792-6527

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 Kyrstina Mariouw's NPI number?

The NPI number for Kyrstina Mariouw is 1487054441. It was assigned to this individual provider in the NPPES registry on August 27, 2014. The provider is also known as Kyrstina Hudson.

Where is Kyrstina Mariouw located?

Kyrstina Mariouw practices at 3290 W Big Beaver Rd Ste 150, Troy, MI 48084. The listed phone number is (248) 792-6527.

What is Kyrstina Mariouw's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

What insurance does Kyrstina Mariouw accept?

Health plans from McLaren Health Plan Community list Kyrstina Mariouw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyrstina Mariouw was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.