Active NPI
Marek R Moldawsky Jr., M.ED., ED.S.
- School Psychologist
- Cape Coral, FL
National Provider Identifier
1750705836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS #1290
- Practice address
- 4706 Chiquita Blvd S
Suite 200
Cape Coral, FL 33914-6321 - Phone
- (239) 834-9333
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS #1290 | FL | Primary |
Addresses
Primary practice location
4706 Chiquita Blvd S
Suite 200
Cape Coral, FL 33914-6321
Mailing address
4706 Chiquita Blvd S
Suite 200
Cape Coral, FL 33914-6321
Phone (239) 834-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS #1290 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1750705836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 CHIQUITA BLVD S",
"address_2": "SUITE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146321",
"telephone_number": "239-834-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4706 CHIQUITA BLVD S",
"address_2": "SUITE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146321",
"telephone_number": "239-834-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLDAWSKY",
"first_name": "MAREK",
"middle_name": "R",
"name_suffix": "Jr.",
"credential": "M.ED., ED.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS #1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.