Active NPI
Gregory Q Marsella, M.D.
- Psychiatry Physician
- Boca Raton, FL
National Provider Identifier
1285721241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME51261
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376683700 | Medicaid | FL | |
| 04790 | Other | FL | MEDICARE PTAN |
| 04790A | Other | FL | MEDICARE 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
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME51261 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Particle Theory Inc | Psychiatry | Current | Accepting new patients |
| Chrysalis Institute Inc | Current | 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.
-
- Medical Specialty Clinic/Center
- Boca Raton, FL
- NPI 1194151381
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1396347894
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.