Organization Active NPI

Marnie Laratro PSYD PA

  • Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1912220682
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PY7894 Issued in FL
Legal business name
MARNIE LARATRO PSYD PA
Practice address
543 Palm Dr
Hallandale Beach, FL 33009-6533
Phone
(954) 483-4238
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Ms. Marnie Laratro, PSY.D., P.A.
Title
Owner
Phone
(954) 483-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PY7894 FL Primary

Addresses

Primary practice location

543 Palm Dr
Hallandale Beach, FL 33009-6533

Mailing address

543 Palm Drive
Hallandale, FL 33009
Phone (954) 483-4238

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1912220682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 PALM DRIVE",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-483-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 PALM DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096533",
            "telephone_number": "954-483-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNIE LARATRO PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "LARATRO",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-483-4238",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D., P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PY7894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.