Individual provider Active NPI

Gregory Q Marsella, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1285721241
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME51261 Issued in FL
Practice address
8000 N Federal Hwy Ste 110
Boca Raton, FL 33487-1681
Phone
(561) 394-2532
Fax
(561) 210-1371
NPI assigned
Oct 9, 2006
Sex
Male
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
Psychiatry Physician 2084P0800X ME51261 FL Primary

Addresses

Primary practice location

8000 N Federal Hwy Ste 110
Boca Raton, FL 33487-1681

Mailing address

3648 Mykonos CT
Boca Raton, FL 33487-1295
Phone (561) 789-9922

Other identifiers 3

IdentifierTypeStateIssuer
376683700MedicaidFL
04790OtherFLMEDICARE PTAN
04790AOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME51261FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Particle Theory Inc Psychiatry Current Accepting new patients
Chrysalis Institute Inc CurrentSince Oct 20, 2024 Accepting new patients

Locations

8000 N Federal Hwy
Ste 110
Boca Raton, FL 33487
Phone (561) 330-5515

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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1285721241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 MYKONOS CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871295",
            "telephone_number": "561-789-9922",
            "fax_number": "561-210-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871681",
            "telephone_number": "561-394-2532",
            "fax_number": "561-210-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSELLA",
        "first_name": "GREGORY",
        "middle_name": "Q",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME51261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376683700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "04790",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "04790A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.