Engelbert Marrero, ARNP PMHNP-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RNP252593 Issued in AZ

Practice address

15015 W Bell Rd Ste 101114
Surprise, AZ 85374-3214

Phone

(623) 269-4870

Fax

(623) 269-4871

NPI assigned

Jul 1, 2011

Last updated

Feb 8, 2022By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Psychiatric Remedy PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New River, AZ
  • NPI 1124771597
  Authorized official Same address or phone
• Happy Ears Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Peoria, AZ
  • NPI 1033516083
  NPD (past)
• The Devereux Foundation

  dba Devereux Arizona

  • Adolescent and Children Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1306939368
  NPD (past)
• The Devereux Foundation

  dba Devereux Arizona

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Scottsdale, AZ
  • NPI 1497852768
  NPD (past)

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1457648107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W PHALEN DR",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850875986",
            "telephone_number": "602-718-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 W BELL RD STE 101114",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743214",
            "telephone_number": "623-269-4870",
            "fax_number": "623-269-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 W Phalen Dr",
            "address_purpose": "LOCATION",
            "city": "New River",
            "state": "AZ",
            "postal_code": "850875986",
            "country_code": "US",
            "telephone_number": "602-718-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "ENGELBERT",
        "name_prefix": "Mr.",
        "credential": "ARNP PMHNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2022-02-08",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP252593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING",
            "identifier": "252593",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marley Adult Healthcare LLC
• Luis Antonio Marmol, LMT
• Hollie Marovich, NP
• Madison N Marquart, PT, DPT
• Jeffrey David Marquis, M.A., M.ED
• Linda M. Marsh, M. S., CCC-SLP
• Aubrey Strong Martin, OTR/L
• Harold Martin
• Janyssa Rayanne Martin
• Kym Erin Martin, MA CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.