Individual provider Active NPI

Marie Hume Guilford, PH.D.

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1386867588
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5748 Issued in FL
Practice address
3050 Highland Oaks Ter # 1
Tallahassee, FL 32301-3841
Phone
(850) 224-5801
Fax
(850) 224-6459
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 5748 FL
Clinical Psychologist 103TC0700X 2150 GA
Forensic Psychologist 103TF0200X 5748 FL
Clinical Psychologist 103TC0700X 5748 FL Primary

Addresses

Primary practice location

3050 Highland Oaks Ter # 1
Tallahassee, FL 32301-3841

Mailing address

3050 Highland Oaks Ter # 1
Tallahassee, FL 32301-3841
Phone (850) 224-5801

Other identifiers 1

IdentifierTypeStateIssuer
000766136DMedicaidGA

Other names 1

  • Marie Perry Hume Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5748FLMDClinical Psychologist
2150GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Psychology Consultants, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

3050 Highland Oaks Ter
Unit 1
Tallahassee, FL 32301
Phone (850) 224-5801

227 E Virginia St
Tallahassee, FL 32301

Organizations & group practices 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1386867588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HIGHLAND OAKS TER # 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013841",
            "telephone_number": "850-224-5801",
            "fax_number": "850-224-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HIGHLAND OAKS TER # 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013841",
            "telephone_number": "850-224-5801",
            "fax_number": "850-224-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFORD",
        "first_name": "MARIE",
        "middle_name": "HUME",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "5748",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2150",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "5748",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "5748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000766136D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "HUME",
            "middle_name": "PERRY",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.