Aleksandra Marinovic, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22507 Issued in CA

Practice address

391 Front St Ste E
Grover Beach, CA 93433-1984

Phone

(858) 349-4496

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 Apr 25, 2023 through Apr 25, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1174159859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 WOODMERE RD",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934554043",
            "telephone_number": "858-349-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 FRONT ST STE E",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934331984",
            "telephone_number": "858-349-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINOVIC",
        "first_name": "ALEKSANDRA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Mackenzie
• Noah Madison
• Aaron Magana
• Valentina Makovey
• Lynn G. Marie, M.A. CLINICAL PSYCH.
• Leslie Marshall
• Carolina Guadalupe Martin, RDH
• Melinda Evelyn Martin, LPT
• Deanna Martinez
• Jyll Maxwell, LMFT

• Clinical Psychologist in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.