Brent Patrick Mruz, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7508 Issued in FL

Practice address

1701 NE 42ND Ave
Suite 102
Ocala, FL 34470-8022

Phone

(352) 351-4940

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1114122462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 42ND AVE",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344708022",
            "telephone_number": "954-873-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NE 42ND AVE",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344708022",
            "telephone_number": "352-351-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUZ",
        "first_name": "BRENT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7508",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY 7508",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY 7508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Adam Mowry, CRNA
• Anne E Moyer, P.A.
• Sarah Ellen Moyer, DO
• Ennetta Mozell, BA/CM
• Sarah Yvette Mozell
• Ms Beas Supportive Services
• Omar Msto Hussain Nasser, MD
• Mark D Muckenfuss, LDO
• Lori Haley Muder, ARNP
• Hamzah Farrukh Mughal, DO

• Clinical Psychologist in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.