Individual provider Active NPI

Jacqueline Monique Marguglio, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1194969246
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8260 Issued in FL
Practice address
2803 Fruitville Rd
Suite 240
Sarasota, FL 34237-5344
Phone
(941) 320-6550
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8260 FL Primary

Addresses

Primary practice location

2803 Fruitville Rd
Suite 240
Sarasota, FL 34237-5344

Mailing address

2803 Fruitville Rd
Suite 240
Sarasota, FL 34237-5344
Phone (941) 320-6550

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Service of the Suncoast Inc PastSince Sep 26, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1194969246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD",
            "address_2": "SUITE 240",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375344",
            "telephone_number": "941-320-6550",
            "fax_number": "941-320-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD",
            "address_2": "SUITE 240",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375344",
            "telephone_number": "941-320-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGUGLIO",
        "first_name": "JACQUELINE",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.