Individual provider Active NPI

Judith B Marquit, PSYD

  • Clinical Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1891853156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3315 Issued in FL
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
229261OtherCOMP PSYCH
CIGNAOther64801
210439OtherMAGELLAN
75393OtherBCBS
092734OtherVALUE OPTIONS
81963OtherFIRST HEALTH
29881OtherCORPEHEALTH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.