Richard Rene Marcil Jr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5474 Issued in FL

Practice address

172 W Warren Ave
Suite 130
Longwood, FL 32750-4133

Phone

(407) 894-8507

Fax

(407) 894-2024

NPI assigned

Jan 2, 2007

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1447317227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W WARREN AVE",
            "address_2": "SUITE 130",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504133",
            "telephone_number": "407-894-8507",
            "fax_number": "407-894-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W WARREN AVE",
            "address_2": "SUITE 130",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504133",
            "telephone_number": "407-894-8507",
            "fax_number": "407-894-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIL",
        "first_name": "RICHARD",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY5474",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Mannen, MA
• Corey Manuel, L.M.H.C.
• Julissa E Manzzo, LMT
• Marc H Sherman OD PA
• Marc Irwin Sharfman MD PA
• Stephanie Marhon
• Tatiane Marinho Da Cunha
• Jacqueline Marquez-Duprey
• Claudia Marquez
• Desire Marquez

• Psychologist in Longwood, FL
• Providers in Longwood, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.