Active NPI
Lucy Marrero, PH.D.
- Psychologist
- Newberry, FL
National Provider Identifier
1225284169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY5117
- Practice address
- 14260 W Newberry Rd
#165
Newberry, FL 32669-2765 - Phone
- (352) 219-0988
- NPI assigned
- Aug 12, 2008
- Last updated
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY5117 | FL | Primary |
Addresses
Primary practice location
14260 W Newberry Rd
#165
Newberry, FL 32669-2765
Mailing address
14260 W Newberry Rd
# 165
Newberry, FL 32669-2765
Phone (352) 219-0988
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5117 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1225284169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14260 W NEWBERRY RD",
"address_2": "# 165",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326692765",
"telephone_number": "352-219-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14260 W NEWBERRY RD",
"address_2": "#165",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326692765",
"telephone_number": "352-219-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "LUCY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY5117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.