Active NPI
Pasqua Maria Marongiu, PSY.D.
- Clinical Psychologist
- Melbourne, FL
National Provider Identifier
1154522464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7776
- Practice address
- 3270 Suntree Blvd Ste 1128
Melbourne, FL 32940-7557 - Phone
- (321) 431-3222
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7776 | FL | Primary |
Addresses
Primary practice location
3270 Suntree Blvd Ste 1128
Melbourne, FL 32940-7557
Mailing address
3270 Suntree Blvd Ste 1128
Melbourne, FL 32940-7557
Phone (321) 043-1322
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 |
|---|---|---|---|
| PY7776 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1154522464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 SUNTREE BLVD STE 1128",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407557",
"telephone_number": "321-043-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 SUNTREE BLVD STE 1128",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407557",
"telephone_number": "321-431-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARONGIU",
"first_name": "PASQUA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.