PATRICK MARCUS DECARLO (NPI# 1235603309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235603309 |
| Entity Type | Individual |
| Full Name | PATRICK MARCUS DECARLO |
| Credential | LMFT |
| Practice Address |
5900 Johnson St Hollywood FL 33021-5638 |
| Practice Telephone | 9549977248 |
| Mailing Telephone | 9545478982 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT3587 | FL | Behavioral Health & Social Service Providers |
| Street Address |
5900 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093165680 | Anne Weymouth | Counselor | 5900 Johnson St, Hollywood, FL 33021-5638 | 2016-06-15 |
| 1437509411 | Dmba United LLC | Community/Behavioral Health | 5900 Johnson St, Hollywood, FL 33021-5638 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208304 | Zuwania Lynette Smith | Marriage & Family Therapist | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 |
| 1508489188 | Jessica Popham | Marriage & Family Therapist | 1437 Dewey St, Hollywood, FL 33020-6136 | 2020-05-18 |
| 1760910541 | Angela Dipasquale | Marriage & Family Therapist | 450 N Park Road, Hollywood, FL 33021 | 2017-05-24 |
| 1851827018 | Arlett Theresa Bagalue-tracey | Marriage & Family Therapist | 450 North Park Road Ste. 600, Hollywood, FL 33021 | 2017-05-10 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1801334719 | Sara Smith | Marriage & Family Therapist | 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 | 2017-02-10 |
| 1326356486 | Cecile Marie Dumornay | Marriage & Family Therapist | 6509 Flagler St, Hollywood, FL 33023-2127 | 2010-09-22 |
| 1265753917 | Nancy Yvonne Paris | Marriage & Family Therapist | 3133 N. 34th Street, Hollywood, FL 33021 | 2010-06-17 |
| 1043443963 | Rosie Goni | Marriage & Family Therapist | 3473 Emerald Oaks Dr, Hollywood, FL 33021-8444 | 2009-08-26 |
| 1538322268 | Jason Wasser | Marriage & Family Therapist | 1930 Harrison St, Suite 205, Hollywood, FL 33020-7824 | 2008-07-02 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.