Organization Active NPI

Marta Manrique-Reichard, PH. D., Inc.

  • Clinical Psychologist
  • South Miami, FL
National Provider Identifier
1508005869
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5809 Issued in FL
Legal business name
MARTA MANRIQUE-REICHARD, PH. D., INC.
Practice address
5940 SW 73Rd St
Suite 203
South Miami, FL 33143-8700
Phone
(305) 669-0019
Fax
(305) 669-0029
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Marta Elena Manrique-Reichard, PH.D.NPI 1821085713
Title
Owner/Clinical Psychologist
Phone
(305) 669-0019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY5809 FL Primary

Addresses

Primary practice location

5940 SW 73Rd St
Suite 203
South Miami, FL 33143-8700

Mailing address

5940 SW 73Rd St
Suite 203
South Miami, FL 33143-8700
Phone (305) 669-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000426 FL Part B Supplier - Clinic/Group Practice 0547318248 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

5940 SW 73rd St
Ste 203
South Miami, FL 33143
Phone (305) 669-0019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1508005869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 SW 73RD ST",
            "address_2": "SUITE 203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331438700",
            "telephone_number": "305-669-0019",
            "fax_number": "305-669-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 SW 73RD ST",
            "address_2": "SUITE 203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331438700",
            "telephone_number": "305-669-0019",
            "fax_number": "305-669-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA MANRIQUE-REICHARD, PH. D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "MANRIQUE-REICHARD",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-669-0019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.