Individual provider Active NPI

Marcela Aguilar Galicia

  • Psychologist
  • West Palm Beach, FL
National Provider Identifier
1932445376
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11745 Issued in FL
Practice address
1655 Palm Beach Lakes Blvd Ste 300
West Palm Beach, FL 33401-2203
Phone
(561) 612-6000
Fax
(561) 612-6098
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY11745 FL Primary

Addresses

Primary practice location

1655 Palm Beach Lakes Blvd Ste 300
West Palm Beach, FL 33401-2203

Mailing address

1655 Palm Beach Lakes Blvd Ste 300
West Palm Beach, FL 33401-2203
Phone (561) 612-6000

Other names 1

  • Marcela Paola Aguilar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY11745FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagans Boys Home Psychologist Past Accepting new patients

Organizations & group practices 1

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1932445376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 PALM BEACH LAKES BLVD STE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012203",
            "telephone_number": "561-612-6000",
            "fax_number": "561-612-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 PALM BEACH LAKES BLVD STE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012203",
            "telephone_number": "561-612-6000",
            "fax_number": "561-612-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALICIA",
        "first_name": "MARCELA",
        "middle_name": "AGUILAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELA",
            "last_name": "AGUILAR",
            "middle_name": "PAOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.