Enitan Temitayo Marcelle, is a
Clinical Neuropsychologist based in Brooklyn, New York. Enitan Temitayo Marcelle is licensed to practice in New York (license number 026012) and her current practice location is
102 Bristol St, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 207-9884.
NPI number for Enitan Temitayo Marcelle is 1497307300 and her current mailing address is 1001 Potrero Ave, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497307300.
Healthcare Provider's Profile
| Full Name | Enitan Temitayo Marcelle |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 102 Bristol St, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497307300
- Provider Enumeration Date: 07/10/2019
- Last Update Date: 09/15/2025
Medical Identifiers
Medical identifiers for Enitan Temitayo Marcelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497307300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 026012 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 026012 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Enitan Temitayo Marcelle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Enitan Temitayo Marcelle,
1001 Potrero Ave,
San Francisco, CA 94110-3518
Ph: (415) 206-5270 | Enitan Temitayo Marcelle,
102 Bristol St,
Brooklyn, NY 11212-6014
Ph: (718) 207-9884 |
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