Laura Marullo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5314 Issued in FL

Practice address

7433 Ansley Dr
Lake Worth, FL 33467-7708

Phone

(561) 255-4693

Fax

(561) 733-1629

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alan a Jaffe PHD and Associates PAGroup PAC ID 2264590017, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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.

• Alan a Jaffe PHD & Associates PA

  • Clinical Neuropsychologist
  • Coral Springs, FL
  • NPI 1326165655
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1376736884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7433 ANSLEY DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677708",
            "telephone_number": "561-255-4693",
            "fax_number": "561-733-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 ANSLEY DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677708",
            "telephone_number": "561-255-4693",
            "fax_number": "561-733-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARULLO",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Martinez
• Lauren Martinez
• Michelle Martinez
• Milton Elliot Martinez
• Natalie Rebecca Martinez
• Samantha Amelia Masi, LCSW
• Valerie L. Masiker, MS/CCC/SLP
• Brooke A Masters, MS CCC SLP
• Rebecca Danielle Masterson, MSW, LCSW
• Rafael Mastov, DPT

• Clinical Psychologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.

Verify at the official NPI Registry.