Active NPI
Dayli Natasha Marrero, PHD
- Clinical Psychologist
- Columbia, MD
National Provider Identifier
1811932338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04095
- Practice address
- 10774 Hickory Ridge Rd
Columbia, MD 21044 - Phone
- (410) 992-7288
- Fax
- (410) 991-2880
- NPI assigned
- Jun 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04095 | MD | Primary |
Addresses
Primary practice location
10774 Hickory Ridge Rd
Columbia, MD 21044
Mailing address
10774 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 992-7288
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122241 | Other | TRICARE USFHP EHP | |
| 122241 | Other | JOHN HOPKINS JHHC | |
| PK 100090789 | Other | APS | |
| 64610101 | Other | CAREFIRST BCBS MD | |
| 251592 | Other | COMPSYCH | |
| 28670011 | Other | CAREFIRST BCBS DC | |
| LW80 | Other | CAREFIRST BCBS MD | |
| 801549000 | Other | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10632 Little Patuxent Pkwy
Suite 310
Columbia, MD 21044-6233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Columbia, MD
- NPI 1063643898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1811932338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10774 HICKORY RIDGE RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "410-992-7288",
"fax_number": "410-991-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10774 HICKORY RIDGE RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "410-992-7288",
"fax_number": "410-991-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "DAYLI",
"middle_name": "NATASHA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE USFHP EHP",
"identifier": "122241",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS JHHC",
"identifier": "122241",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "PK 100090789",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS MD",
"identifier": "64610101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "251592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS DC",
"identifier": "28670011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS MD",
"identifier": "LW80",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "801549000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.