Individual provider Active NPI

Jessica Kara Marks, PSY.D

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1356895114
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10269 Issued in FL
Practice address
9685 Lake Nona Village PL Ste 103
Orlando, FL 32827-7321
Phone
(407) 557-8160
Fax
(407) 557-8159
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10269 FL Primary

Addresses

Primary practice location

9685 Lake Nona Village PL Ste 103
Orlando, FL 32827-7321

Mailing address

7261 Sheridan St Ste 340
Hollywood, FL 33024-2726
Phone (954) 561-6222

Other practice location 1

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222

Other practice location 2

7369 Sheridan St Ste 101
Hollywood, FL 33024-2776
Phone (954) 561-6222

Other practice location 3

5901 SW 74th St Ste 408
South Miami, FL 33143-5164
Phone (305) 735-3555

Other practice location 4

7200 Camino Real Ste 201
Boca Raton, FL 33433-5511
Phone (561) 674-0885

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102001206 FL Practitioner - Clinical Psychologist 6800131319 Reassigns benefits to 1 organization
Practice locations: Celebration, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ventre Medical Associates LLCGroup PAC ID 5496931586, 72 clinicians

Practice addresses (Care Compare)

5901 SW 74TH St
Suite 408
South Miami, FL 33143-5164
Phone (305) 735-3555

Merit-based Incentive Payment System (MIPS)

Final score
52.48 of 100Reported as group
Quality
9.18
Improvement activities
40
Cost
76.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates, LLC Mental Health CurrentSince Oct 3, 2023 Accepting new patients
Jessica K Marks Positive Mental Health Clinical CurrentSince Mar 10, 2023 Accepting new patients
Ventre Medical Associates LLC Mental Health CurrentSince Oct 3, 2023 Accepting new patients
Ventre Medical Associates LLC Mental Health PastSince Nov 9, 2021 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885

7369 Sheridan St
Ste 101
Hollywood, FL 33024
Phone (954) 562-6222

7261 Sheridan St
Ste 340
Hollywood, FL 33024

601 Market St
Unit 470937
Kissimmee, FL 34747

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

9685 Lake Nona Village Pl
Ste 103
Orlando, FL 32827
Phone (407) 557-8160

5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1356895114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 340",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 LAKE NONA VILLAGE PL STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277321",
            "telephone_number": "407-557-8160",
            "fax_number": "407-557-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Oakland Park Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333344400",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7369 Sheridan St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330242776",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 SW 74th St Ste 408",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435164",
            "country_code": "US",
            "telephone_number": "305-735-3555",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Camino Real Ste 201",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334335511",
            "country_code": "US",
            "telephone_number": "561-674-0885",
            "fax_number": "561-674-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "JESSICA",
        "middle_name": "KARA",
        "name_prefix": "Ms.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.