MARISSA SQUILLACE M.A.
NPI 1619683844
Counselor - Mental Health in Long Beach, NY

Active since January 31, 2023PECOS Enrolled
447 E PENN ST, LONG BEACH, NY 11561(516) 400-6242 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Squillace M.a. NPPES

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

MARISSA SQUILLACE M.A. (NPI 1619683844) is an individual mental health provider in Long Beach, New York and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619683844
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA SQUILLACECredential: M.A.
Location Address447 E PENN STLong Beach, NY 11561-4439
Mailing Address507 Reserve CtSchenectady, NY 12302-3537 · (631) 835-6392
Sole ProprietorNo
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
NPI 1619683844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
447 E PENN ST, Long Beach, NY 11561

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 Squillace M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
447 E PENN ST
LONG BEACH, NY 11561

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 Squillace's NPI number?

The NPI number for Marissa Squillace is 1619683844. It was assigned to this individual provider in the NPPES registry on January 31, 2023.

Where is Marissa Squillace located?

Marissa Squillace practices at 447 E Penn St, Long Beach, NY 11561. The listed phone number is (516) 400-6242.

What is Marissa Squillace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marissa Squillace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marissa Squillace was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.