NPIMap

Organization Active NPI

Elsa M Marban LMHC Psy D

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1720267552
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6114 Issued in FL
Legal business name
ELSA M MARBAN LMHC PSY D
Practice address
2264 SW 7TH St
Miami, FL 33135-3112
Phone
(305) 631-0778
Fax
(305) 631-0779
NPI assigned
Oct 29, 2007
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ELSA M MARBAN LMHC PSY DAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Elsa Maria Marban, L.M.H.C., PSY. D.NPI 1447294988
Title
Owner/ Psychologist
Phone
(305) 631-0778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X PY6114 FL
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X PY6114 FL
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY6114 FL Primary
Rehabilitation PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TR0400X PY6114 FL
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X MH4305 FL

Addresses

Primary practice location

2264 SW 7TH St
Miami, FL 33135-3112

Mailing address

2264 SW 7TH St
Miami, FL 33135-3112
Phone (305) 631-0778

National Provider Directory

National Provider Directory
Part of
Elsa M Marban LMHC Psy D

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1720267552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 SW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353112",
            "telephone_number": "305-631-0778",
            "fax_number": "305-631-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 SW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353112",
            "telephone_number": "305-631-0778",
            "fax_number": "305-631-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA M MARBAN LMHC PSY D",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELSA M MARBAN LMHC PSY D",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "MARBAN",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-631-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.M.H.C., PSY. D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PY6114",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PY6114",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6114",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY6114",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MH4305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.