Organization Active NPI

Daniel S Marr PSYD PA

  • Psychologist
  • Delray Beach, FL
National Provider Identifier
1619090412
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2006-24867 Issued in FL
Legal business name
DANIEL S MARR PSYD PA
Practice address
5300 W Atlantic Ave
Suite 604
Delray Beach, FL 33484-8165
Phone
(561) 637-2224
Fax
(561) 637-4446
NPI assigned
Apr 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Daniel S. Marr, PSY.D.NPI 1902855547
Title
Director
Phone
(561) 637-2224

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2006-24867 FL Primary

Addresses

Primary practice location

5300 W Atlantic Ave
Suite 604
Delray Beach, FL 33484-8165

Mailing address

5300 W Atlantic Ave
Suite 604
Delray Beach, FL 33484-8165
Phone (561) 637-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000189 FL Part B Supplier - Clinic/Group Practice 1850499781 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

5300 Atlantic Ave
Ste 604
Delray Beach, FL 33484
Phone (561) 558-7815

Practitioners & affiliated clinicians

Practitioners 2

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": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1619090412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W ATLANTIC AVE",
            "address_2": "SUITE 604",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848165",
            "telephone_number": "561-637-2224",
            "fax_number": "561-637-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W ATLANTIC AVE",
            "address_2": "SUITE 604",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848165",
            "telephone_number": "561-637-2224",
            "fax_number": "561-637-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S MARR PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-637-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "2006-24867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.