Individual provider Active NPI

Marino Molina, M.D.

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1427114255
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0067945 Issued in FL
Practice address
625 E 49TH St FL 2
Hialeah, FL 33013-1963
Phone
(305) 681-7789
Fax
(305) 681-7968
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0067945 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME0067945 FL

Addresses

Primary practice location

625 E 49TH St FL 2
Hialeah, FL 33013-1963

Mailing address

625 E 49TH St
2ND Floor
Hialeah, FL 33013-1963
Phone (305) 681-7789

Other identifiers 1

IdentifierTypeStateIssuer
015687500MedicaidFL

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000885 FL Practitioner - PsychiatryPractitioner - Pediatric MedicinePractitioner - Single Or Multispecialty Clinic Or Group Practice 8123160926 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0067945FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marino Molina, M.D.& Associates PA. Psychiatry CurrentSince Jun 6, 2009 Accepting new patients
Morning Star Centers Inc. CurrentSince Feb 23, 2016 Accepting new patients
Integrity Behavioral Health, LLC CurrentSince Apr 1, 2021 Accepting new patients
Marino Molina, M.D.& Associates PA Psychiatry PastSince Jun 6, 2009 Accepting new patients
Amedica Children's Center, Inc. Past Accepting new patients

Locations

625 E 49th St
Hialeah, FL 33013
Phone (305) 681-7770

625 E 49th St
Fl 2
Hialeah, FL 33013
Phone (305) 681-7789

7811 SW 24th St
Ste 106
Miami, FL 33155
Phone (305) 264-1294

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1427114255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 49TH ST",
            "address_2": "2ND FLOOR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131963",
            "telephone_number": "305-681-7789",
            "fax_number": "305-681-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 49TH ST FL 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131963",
            "telephone_number": "305-681-7789",
            "fax_number": "305-681-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MARINO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0067945",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0067945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015687500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.