Individual provider Active NPI

Mari T Casares-Thorndike, PH.D.

  • Counseling Psychologist
  • Hollywood, FL
National Provider Identifier
1922313618
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY 7529 Issued in FL
Practice address
3999 Sheridan St
Ste 201
Hollywood, FL 33021-3635
Phone
(954) 200-0300
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY 7529 FL Primary

Addresses

Primary practice location

3999 Sheridan St
Ste 201
Hollywood, FL 33021-3635

Mailing address

3999 Sheridan St
Ste 201
Hollywood, FL 33021-3635
Phone (954) 200-0300

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
I20200522000943 FL Practitioner - Clinical Psychologist 3274825898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2450 Hollywood Blvd
Suite 301 a
Hollywood, FL 33020-6615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 7529FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mari Casares, PH.D. Current Accepting new patients
Salud Counseling & Psychological Services CurrentSince Feb 16, 2016 Accepting new patients

Locations

3999 Sheridan St
Ste 201
Hollywood, FL 33021
Phone (305) 675-9200

2450 Hollywood Blvd
Ste 301A
Hollywood, FL 33020
Phone (954) 200-0300

2500 Hollywood Blvd
Ste 40
Hollywood, FL 33020
Phone (954) 200-0300

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1922313618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 SHERIDAN ST",
            "address_2": "STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213635",
            "telephone_number": "954-200-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 SHERIDAN ST",
            "address_2": "STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213635",
            "telephone_number": "954-200-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASARES-THORNDIKE",
        "first_name": "MARI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY 7529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.