Organization Active NPI

Louis M. Makarowski, PH.D., P.a.

  • Psychologist
  • Pensacola, FL
National Provider Identifier
1124398417
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY2429 Issued in FL
Legal business name
LOUIS M. MAKAROWSKI, PH.D., P.A.
Practice address
5120 Bayou Blvd
Suite 6
Pensacola, FL 32503-2193
Phone
(850) 477-7181
Fax
(850) 477-7197
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mrs. Marilyn Irene Makarowski
Title
Secretary
Phone
(850) 477-7181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY2429 FL Primary

Addresses

Primary practice location

5120 Bayou Blvd
Suite 6
Pensacola, FL 32503-2193

Mailing address

5120 Bayou Blvd
Suite 6
Pensacola, FL 32503-2193
Phone (850) 477-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000178 FL Part B Supplier - Clinic/Group Practice 7810164001 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

5120 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone (413) 246-1445

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1124398417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 BAYOU BLVD",
            "address_2": "SUITE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032193",
            "telephone_number": "850-477-7181",
            "fax_number": "850-477-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 BAYOU BLVD",
            "address_2": "SUITE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032193",
            "telephone_number": "850-477-7181",
            "fax_number": "850-477-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS M. MAKAROWSKI, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MAKAROWSKI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "850-477-7181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.