Individual provider Active NPI

Marisara Morales Ortiz, MD

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1902327216
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME177678 Issued in FL
Practice address
9685 Lake Nona Village PL Ste 103
Orlando, FL 32827-7321
Phone
(407) 557-8160
Fax
(407) 557-8159
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME177678 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 73482 TN

Addresses

Primary practice location

9685 Lake Nona Village PL Ste 103
Orlando, FL 32827-7321

Mailing address

7261 Sheridan St Ste 340
Hollywood, FL 33024-2726
Phone (954) 561-6222

Other practice location 1

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128004228 FL Practitioner - Psychiatry 7214314459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1785 Calle Astromelia
San Juan, PR 00926

7261 Sheridan St
Suite 340
Hollywood, FL 33024-2706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME177678FLMDChild & Adolescent Psychiatry Physician
73482TNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Child & Adolescent Psychiatry CurrentSince Jan 16, 2026 Accepting new patients
Ventre Medical Associates, LLC Child & Adolescent Psychiatry PastSince Aug 1, 2021 Accepting new patients

Locations

7261 Sheridan St
Ste 340
Hollywood, FL 33024

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

9685 Lake Nona Village Pl
Ste 103
Orlando, FL 32827
Phone (407) 557-8160

5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1902327216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 340",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 LAKE NONA VILLAGE PL STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277321",
            "telephone_number": "407-557-8160",
            "fax_number": "407-557-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Oakland Park Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333344400",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES ORTIZ",
        "first_name": "MARISARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME177678",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "73482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.