Individual provider Active NPI

Mariana Bromfield, MS, ED. S

  • School Psychologist
  • Winter Garden, FL
National Provider Identifier
1225889629
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1505 Issued in FL
Practice address
10037 Little Alcove Loop
Winter Garden, FL 34787-4456
Phone
(407) 733-6113
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1505 FL Primary

Addresses

Primary practice location

10037 Little Alcove Loop
Winter Garden, FL 34787-4456

Mailing address

10037 Little Alcove Loop
Winter Garden, FL 34787-4456
Phone (407) 733-6113

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
Master of Science

State licenses

LicenseStateTypeSpecialty
SS1505FLMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1225889629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10037 LITTLE ALCOVE LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874456",
            "telephone_number": "407-733-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10037 LITTLE ALCOVE LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874456",
            "telephone_number": "407-733-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMFIELD",
        "first_name": "MARIANA",
        "credential": "MS, ED. S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.