Active NPI
Marnie Dena Laratro, PSY.D.
- Clinical Psychologist
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7894
- Practice address
- 1131 N 35TH Ave Ste 330
Hollywood, FL 33021-5403 - Phone
- (954) 265-3650
- Fax
- (954) 281-9996
- NPI assigned
- Jul 2, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7894 | FL | Primary |
Addresses
Primary practice location
1131 N 35TH Ave Ste 330
Hollywood, FL 33021-5403
Mailing address
2900 Corporate Way Ste D
Miramar, FL 33025-3925
Phone (954) 276-5603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlaratro13877@MHSDIRECT.NET | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 N 35TH Ave
Hollywood, FL 33021-5403
4651 Sheridan St
Suite 150
Hollywood, FL 33021-3443
Phone (954) 265-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients |
Locations
1131 N 35th Ave
Ste 330
Hollywood, FL 33021
Phone (954) 265-4475
2900 Corporate Way
Miramar, FL 33025
Phone (954) 276-5411
2900 Corporate Way
Ste D
Miramar, FL 33025
Phone (954) 276-5572
4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331
Interoperability endpoints
- mlaratro13877@mhsdirect.net
Organizations & group practices 2
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.
-
- Pediatric Nephrology Physician
- Hollywood, FL
- NPI 1467468496
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1255560959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY STE D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5603",
"fax_number": "954-985-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 N 35TH AVE STE 330",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215403",
"telephone_number": "954-265-3650",
"fax_number": "954-281-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARATRO",
"first_name": "MARNIE",
"middle_name": "DENA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7894",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlaratro13877@MHSDIRECT.NET",
"affiliation": "N",
"endpointDescription": "MHS DSM",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1131 N 35th Ave Ste 330",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
- Michelle Elizabeth Lanspa, DO
- Kelvin Lantigua, DMD
- Oliver Bennett Lao, MD
- Christina E Lapp, D.C.
- Lena Demarco Laratro, PA-C
- Daniela Larios
- Larisa Palmer, Psy.D., P.a.
- Larkin Community Hospital Behavioral Health Services, Inc
- Larkin Community Hospital Behavioral Health Services, Inc
- Taifa Neslie Larochelle-Hall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.