Marnie G. Shanbhag, PH.D., P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6016 Issued in FL

Legal business name

MARNIE G. SHANBHAG, PH.D., P.A.

Practice address

505 N Park Ave
Suite 201
Winter Park, FL 32789-3268

Phone

(407) 644-5598

Fax

(407) 644-0329

NPI assigned

Apr 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marnie Shanbhag, PH.D.NPI 1568687333

Title

President

Phone

(407) 644-5598

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marnie Shanbhag, PH.D.

  • Psychologist
  • Winter Park, FL
  • NPI 1568687333
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093930968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N PARK AVE",
            "address_2": "SUITE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893268",
            "telephone_number": "407-644-5598",
            "fax_number": "407-644-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N PARK AVE",
            "address_2": "SUITE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893268",
            "telephone_number": "407-644-5598",
            "fax_number": "407-644-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNIE G. SHANBHAG, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANBHAG",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-644-5598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Marsilio Jr DC PA
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• Danielle Markle Price, M.D.
• Katie Michelle Markley, CCC-SLP
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• Juliani Marrero
• Norma Emily Marrero, PT
• Sahilee Ann Marrero
• Ileana C Marron, ARNP, FNP-C

• Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.