Individual provider Active NPI

David Aaron Maroof, PH.D

  • Clinical Neuropsychologist
  • Orlando, FL
National Provider Identifier
1619208451
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8368 Issued in FL
Practice address
21 W Columbia St
Orlando, FL 32806-1133
Phone
(321) 841-3820
Fax
(321) 843-6836
NPI assigned
Jan 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY8368 FL Primary

Addresses

Primary practice location

21 W Columbia St
Orlando, FL 32806-1133

Mailing address

21 W Columbia St
Orlando, FL 32806-1133
Phone (321) 841-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY8368FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Neuropsychology and Counseling Center LLC Clinical Neuropsychologist CurrentSince Nov 27, 2011 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2013 Accepting new patients
Orlando Health Medical Group Inc Clinical Neuropsychologist CurrentSince Jan 1, 2013 Accepting new patients
Neuropsychology of Orlando Clinical Neuropsychologist CurrentSince Jan 15, 2012 Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

5401 S Kirkman Rd
Ste 550
Orlando, FL 32819
Phone (407) 704-7608

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

3849 Oakwater Cir
Orlando, FL 32806
Phone (407) 237-6336

Organizations & group practices 4

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": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1619208451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061133",
            "telephone_number": "321-841-3820",
            "fax_number": "321-843-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061133",
            "telephone_number": "321-841-3820",
            "fax_number": "321-843-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROOF",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.