Organization Active NPI

Pasqua Marongiu Psy D PA

  • Adult Mental Health Clinic/Center
  • Cocoa, FL
National Provider Identifier
1144464124
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PY7776 Issued in FL
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

Updated by the provider on May 19, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.