Marta Manrique-Reichard, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 5809 Issued in FL

Practice address

5940 SW 73Rd St
Suite 203
South Miami, FL 33143-8700

Phone

(305) 669-0019

Fax

(305) 669-0029

NPI assigned

Oct 5, 2005

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Marta Manrique-Reichard, PH. D., Inc.

  • Clinical Psychologist
  • South Miami, FL
  • NPI 1508005869
  Medicare reassignment NPD Authorized official
• Oncology Hematology Radiation Care LLC

  dba Advanced Medical Specialties

  • Hematology & Oncology Physician
  • Miami, FL
  • NPI 1083681837
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1821085713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 SW 73RD ST",
            "address_2": "SUITE 203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331438700",
            "telephone_number": "305-669-0019",
            "fax_number": "305-669-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 SW 73RD ST",
            "address_2": "SUITE 203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331438700",
            "telephone_number": "305-669-0019",
            "fax_number": "305-669-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE-REICHARD",
        "first_name": "MARTA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 5809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "54444X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dorison Mandler, LCSW
• Ricardo Antonio Mangione, PA
• Muhammad Abdul Manan Mangral, M.B.B.S
• Dina Marie Wagener Manning, PA-C
• Kathryn W Manresa
• Frank F. Manteiga, D.M.D.
• Manuel Rodriguez Garcia MD PA
• Christine R Marambio
• Necial Marcelin, MD
• Maria J Paricio MD PA

• Psychologist in South Miami, FL
• Providers in South Miami, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.

Verify at the official NPI Registry.