Active NPI
Judith B Marquit, PSYD
- Clinical Psychologist
- Pembroke Pines, FL
National Provider Identifier
1891853156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3315
- Practice address
- 601 North Flamingo Rd
Suite 201
Pembroke Pines, FL 33028 - Phone
- (954) 432-6340
- Fax
- (954) 438-4620
- NPI assigned
- Dec 5, 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 | PY3315 | FL | Primary |
Addresses
Primary practice location
601 North Flamingo Rd
Suite 201
Pembroke Pines, FL 33028
Mailing address
601 North Flamingo Rd
Suite 201
Pembroke Pines, FL 33028
Phone (954) 432-6340
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229261 | Other | COMP PSYCH | |
| CIGNA | Other | 64801 | |
| 210439 | Other | MAGELLAN | |
| 75393 | Other | BCBS | |
| 092734 | Other | VALUE OPTIONS | |
| 81963 | Other | FIRST HEALTH | |
| 29881 | Other | CORPEHEALTH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120601000433 | FL | Practitioner - Clinical Psychologist | 8325202328 | Practice locations: Pembroke Pines, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1806 N Flamingo Rd
Suite 323
Pembroke Pines, FL 33028-1035
Phone (954) 432-6340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891853156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 NORTH FLAMINGO RD",
"address_2": "SUITE 201",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "954-432-6340",
"fax_number": "954-438-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 NORTH FLAMINGO RD",
"address_2": "SUITE 201",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "954-432-6340",
"fax_number": "954-438-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUIT",
"first_name": "JUDITH",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY3315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMP PSYCH",
"identifier": "229261",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "64801",
"identifier": "CIGNA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "210439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "75393",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "092734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "81963",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPEHEALTH",
"identifier": "29881",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.