Active NPI
Marta Manrique-Reichard, PH. D., Inc.
- Clinical Psychologist
- South Miami, FL
National Provider Identifier
1508005869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5809
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- South Miami, FL
- NPI 1821085713
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.