Individual provider Active NPI

Alessandra Marotti, PSYD

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1609171859
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 7772 Issued in FL
Practice address
4107 W Spruce St
Suite 100
Tampa, FL 33607-2327
Phone
(813) 636-8811
Fax
(813) 636-8855
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PY 7772 FL Primary

Addresses

Primary practice location

4107 W Spruce St
Suite 100
Tampa, FL 33607-2327

Mailing address

6601 Memorial Hwy Ste 310
Tampa, FL 33615-4501
Phone (813) 636-8811

Other practice location 1

6601 Memorial Hwy Ste 310
Tampa, FL 33615-4501
Phone (813) 636-8811

Other identifiers 1

IdentifierTypeStateIssuer
007374100MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110602000704 FL Practitioner - Clinical Psychologist 4486831252 Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6601 Memorial Hwy
Suite 310
Tampa, FL 33615-4501
Phone (813) 853-0721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 7772FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Psychology Place Inc. Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609171859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-636-8811",
            "fax_number": "813-636-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W SPRUCE ST",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072327",
            "telephone_number": "813-636-8811",
            "fax_number": "813-636-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 Memorial Hwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154501",
            "country_code": "US",
            "telephone_number": "813-636-8811",
            "fax_number": "813-636-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROTTI",
        "first_name": "ALESSANDRA",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007374100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.