Jaime Marra, PHD, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAIME MARRA, PHD, LLC

Practice address

4320 Deerwood Lake Pkwy Ste 101-108
Jacksonville, FL 32216-1177

Phone

(904) 479-5120

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Jaime Victoria Marra, PHDNPI 1376845933

Title

Licensed Psychologist/Owner

Phone

(904) 479-5120

Specialties & licenses 1

Addresses

Other names 1

• Marra Health Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime Victoria Marra, PH.D.

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1376845933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1245709559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY STE 101-108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177",
            "telephone_number": "904-479-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY STE 101-108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177",
            "telephone_number": "904-479-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 Deerwood Lake Pkwy Unit 138",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322162255",
            "country_code": "US",
            "telephone_number": "904-479-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAIME MARRA, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "904-479-5120",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marra Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Jahjah
• Nezar Jahjah, PHARM.D.
• Jai Maruti RX LLC
• Jai Maruti RX LLC
• Vishal Jaikaransingh, M.D.
• Anik Jain, MD
• Ankur Jain, MD
• Crystal Morgan Jain, PT, DPT
• Manoj Jain, MD
• Sonali Jain

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.