Individual provider Active NPI

Marcela Mejia, PSYD

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1508308511
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10641 Issued in FL
Practice address
2425 E Commercial Blvd Ste 405
Fort Lauderdale, FL 33308-4029
Phone
(754) 400-5514
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10641 FL Primary

Addresses

Primary practice location

2425 E Commercial Blvd Ste 405
Fort Lauderdale, FL 33308-4029

Mailing address

906 N 13TH Ter
Hollywood, FL 33019-3112
Phone (561) 306-0330

Other practice location 1

2233 N Commerce Pkwy
Weston, FL 33326-3252
Phone (954) 217-1757

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1508308511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N 13TH TER",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330193112",
            "telephone_number": "561-306-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD STE 405",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084029",
            "telephone_number": "754-400-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 N Commerce Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263252",
            "country_code": "US",
            "telephone_number": "954-217-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "MARCELA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.