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MARISSA GRAHAM
NPI 1629868237
Student in an Organized Health Care Education/Training Program in Santa Cruz, CA

Active since May 07, 2025
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060(831) 469-1700(831) 425-1905 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Graham NPPES

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

MARISSA GRAHAM (NPI 1629868237) is an individual student in an organized health care education/training program in Santa Cruz, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1629868237
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMARISSA GRAHAM
Location Address380 ENCINAL ST STE 200Santa Cruz, CA 95060-2178
Mailing Address380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · (831) 469-1700 · Fax (831) 425-1905
Phone(831) 469-1700
Fax(831) 425-1905
Sole ProprietorNo
Enumeration DateMay 7, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1629868237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
380 ENCINAL ST STE 200, Santa Cruz, CA 95060
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Other Providers at the Same Location NPPES 20

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

TERESA MARIA MCINERNEY
Counselor (Mental Health)
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 425-1905
JAMES MICHAEL GARDNER
Adult Companion
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
BRIANNA SMITH
Student in an Organized Health Care Education/Training Program
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
ROSALIE EVANS LCSW
Social Worker (Clinical)
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
ROBYN BROOKS HATCH
Community Health Worker
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
FREDERICK CLOCK
Community Health Worker
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
SHELBY FAZZOLARE
Community Health Worker
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
HAYLEY MARIE STRAND
Counselor (Addiction (Substance Use Disorder))
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700

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 Graham's NPI number?

The NPI number for Marissa Graham is 1629868237. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Marissa Graham located?

Marissa Graham practices at 380 Encinal St Ste 200, Santa Cruz, CA 95060. The listed phone number is (831) 469-1700.

What is Marissa Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marissa Graham was last updated on July 31, 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.