Marie Louise Trgovac, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 9611 Issued in FL

Practice address

1765 Banyan Dr
Venice, FL 34293-1609

Phone

(570) 490-0620

NPI assigned

Feb 1, 2017

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

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1831637685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 BANYAN DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931609",
            "telephone_number": "570-490-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 BANYAN DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931609",
            "telephone_number": "570-490-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRGOVAC",
        "first_name": "MARIE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L. Tracy, LMHC
• Judith Anne Trafton, M.S., CCC-SLP
• Victoria Treasure, PA-C
• Treco Wellness Inc
• Geoffrey Tremont, PHD
• Debra A Trimarco, PHARM D
• True-Care Medical Transportation Inc
• Denise S Trumbauer, DNP, APN, BC
• Ira Daniel Turkat, PH.D.
• Amara Love Turner, OD

• Clinical Psychologist in Venice, FL
• Providers in Venice, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.