Marie-Louise Defeo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6980 Issued in FL

Practice address

2851 W Prospect Rd Unit 1211
Fort Lauderdale, FL 33309-2631

Phone

(954) 529-7910

Fax

(954) 301-0852

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  NPD (past)
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)
• True Joy Counseling and Consulting, PLLC

  • Mental Health Counselor
  • Niceville, FL
  • NPI 1487020368

  Clinical

  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1952588964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 W PROSPECT RD UNIT 1211",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092631",
            "telephone_number": "954-529-7910",
            "fax_number": "954-301-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 W PROSPECT RD UNIT 1211",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092631",
            "telephone_number": "954-529-7910",
            "fax_number": "954-301-0852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 John Sims Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325782712",
            "country_code": "US",
            "telephone_number": "850-389-8489",
            "fax_number": "844-377-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFEO",
        "first_name": "MARIE-LOUISE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gertrude Decius, RBT
• Phillip D Decubellis, DPM
• Patricia Nate Dede
• Mary Frances Dedmon, ARNP
• Thomas Christopher Deer, MD
• Jason Steven Defrancisis, DO
• Danielle F Defreitas, O.M.
• Vincent Degennaro Jr., MD, MPH
• Morgan Degilio, LMHC
• Jessica Degina, DPT

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.