Dwayne D Marrott, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

24316 Issued in TX

Practice address

10450 Brian Mooney Ave
El Paso, TX 79935-2809

Phone

(915) 598-6616

Fax

(915) 598-6651

NPI assigned

Aug 31, 2006

Last updated

May 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Center for Health Psychology, PC

  dba ActionCare Pain Management

  • Psychologist
  • El Paso, TX
  • NPI 1073714838
  Authorized official Same address or phone
• Actioncare Rehabilitation Center LLC

  dba ActionCare Pediatric Therapy

  • Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1134172646
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1730290065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 VIA CORTA CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126643",
            "telephone_number": "915-833-2520",
            "fax_number": "915-598-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 BRIAN MOONEY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352809",
            "telephone_number": "915-598-6616",
            "fax_number": "915-598-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROTT",
        "first_name": "DWAYNE",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034403801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benito A Marranzini, M.D.
• Pablo Ahmed Marrero Nunez, PHARM.D.
• Mariapaula Marroquin-Sandoval
• Robin Marroquin, PTA
• Alene Davis Marrott, FNP-C
• Zachary Marrott, DPT
• Mirella Themis Marrufo Huanca, M.D.
• Elizabeth Marrufo-Esmele, LPC
• Corina A Marrufo, LCWS
• Jonathan Marrufo, ATC, LAT

• Clinical Psychologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.