Active NPI
Pasqua Marongiu Psy D PA
- Adult Mental Health Clinic/Center
- Cocoa, FL
National Provider Identifier
1144464124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- PY7776
- Legal business name
- PASQUA MARONGIU PSY D PA
- Practice address
- 1970 Michigan Ave
Building C-1
Cocoa, FL 32922-5758 - Phone
- (321) 639-0063
- Fax
- (321) 639-0064
- NPI assigned
- Apr 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pasqua Maria Marongiu, PSY D
- Title
- Clinical Psychologist
- Phone
- (321) 431-3222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | PY7776 | FL | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | PY7776 | FL |
Addresses
Primary practice location
1970 Michigan Ave
Building C-1
Cocoa, FL 32922-5758
Mailing address
1970 Michigan Ave
Building C-1
Cocoa, FL 32922-5758
Phone (321) 639-0063
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1144464124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 MICHIGAN AVE",
"address_2": "BUILDING C-1",
"city": "COCOA",
"state": "FL",
"postal_code": "329225758",
"telephone_number": "321-639-0063",
"fax_number": "321-639-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 MICHIGAN AVE",
"address_2": "BUILDING C-1",
"city": "COCOA",
"state": "FL",
"postal_code": "329225758",
"telephone_number": "321-639-0063",
"fax_number": "321-639-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASQUA MARONGIU PSY D PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-22",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "MARONGIU",
"authorized_official_first_name": "PASQUA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "321-431-3222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY D"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "FL",
"license": "PY7776",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "FL",
"license": "PY7776",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.