Individual provider Active NPI

John Marika, CAP

  • Addiction (Substance Use Disorder) Psychologist
  • Weston, FL
National Provider Identifier
1427582949
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
ADC-001642-2014 Issued in FL
Practice address
830 Bayside LN
Weston, FL 33326-3340
Phone
(954) 253-4958
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X ADC-001642-2014 FL Primary

Addresses

Primary practice location

830 Bayside LN
Weston, FL 33326-3340

Mailing address

830 Bayside LN
Weston, FL 33326-3340
Phone (954) 253-4958

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

State licenses

LicenseStateTypeSpecialty
ADC-001642-2014FLMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1427582949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BAYSIDE LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263340",
            "telephone_number": "954-253-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BAYSIDE LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263340",
            "telephone_number": "954-253-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIKA",
        "first_name": "JOHN",
        "credential": "CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-001642-2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.