Active NPI
Marlene Caridad Egusquiza
- Psychologist
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4175 W 20TH Ave
Hialeah, FL 33012-5874 - Phone
- (305) 825-0300
- NPI assigned
- Oct 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4175 W 20TH Ave
Hialeah, FL 33012-5874
Mailing address
4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300
Other practice location 1
725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1599 SE Lennard Rd
Port St Lucie, FL 34952-6542
Phone (772) 323-0762
3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Healing Mental Health Center | Psychologist | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| Balanced Wellbeing LLC | Psychologist | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1599 SE Lennard Rd
Port St Lucie, FL 34952
Phone (772) 323-0762
Networks
- Freedom Health HMO Network
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.
-
- Psychologist
- Port St Lucie, FL
- NPI 1619688314
FL, Psychologist
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1669014460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 W 20TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125874",
"telephone_number": "305-825-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 W 20TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125874",
"telephone_number": "305-825-0300"
}
],
"practiceLocations": [
{
"address_1": "725 N 12th Ave Bldg B",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "FL",
"postal_code": "342668752",
"country_code": "US",
"telephone_number": "863-494-1242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGUSQUIZA",
"first_name": "MARLENE",
"middle_name": "CARIDAD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-13",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.