Active NPI
Margie Mader, LMFT, C.HT.
- Group Psychotherapy Psychologist
- Fort Lauderdale, FL
National Provider Identifier
1104048164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- MT1720
- Practice address
- 2400 West Cypress Creek Road
Suite 205
Fort Lauderdale, FL 33309 - Phone
- (954) 491-2079
- Fax
- (954) 776-2756
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | MT1720 | FL | Primary |
Addresses
Primary practice location
2400 West Cypress Creek Road
Suite 205
Fort Lauderdale, FL 33309
Mailing address
2400 West Cypress Creek Road
Suite 205
Fort Lauderdale, FL 33309
Phone (954) 491-2079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1720 | FL | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104048164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 WEST CYPRESS CREEK ROAD",
"address_2": "SUITE 205",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-491-2079",
"fax_number": "954-776-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WEST CYPRESS CREEK ROAD",
"address_2": "SUITE 205",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-491-2079",
"fax_number": "954-776-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADER",
"first_name": "MARGIE",
"name_prefix": "Mrs.",
"credential": "LMFT, C.HT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "FL",
"license": "MT1720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.