PASQUA MARONGIU PSY D PA (NPI# 1144464124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144464124 |
| Entity Type | Organization |
| Organization Name | PASQUA MARONGIU PSY D PA |
| Practice Address |
1970 Michigan Ave Building C-1 Cocoa FL 32922-5758 |
| Practice Telephone | 3216390063 |
| Practice Fax Number | 3216390064 |
| Mailing Telephone | 3216390063 |
| Mailing Fax Number | 3216390064 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | DR. PASQUA MARIA MARONGIU (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3214313222 |
| Authorized Official Credential | PSY D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
PY7776 | FL | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PY7776 | FL | Ambulatory Health Care Facilities |
| Street Address |
1970 MICHIGAN AVE BUILDING C-1 |
| City | COCOA |
| State | FL |
| Zip Code | 32922-5758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990197 | Holly Ann Champa | Counselor | 1970 Michigan Ave, J 2, Cocoa, FL 32922-5758 | 2006-04-10 |
| 1982050506 | Claire C Boland Counseling and Consulting,inc. | Counselor | 1970 Michigan Ave, J2, Cocoa, FL 32922-5758 | 2016-05-12 |
| 1821468117 | Aaron Privett | Psychologist | 1970 Michigan Ave, J2, Cocoa, FL 32922-5758 | 2015-09-30 |
| 1235469180 | Susan Sullivan | Psychologist | 1970 Michigan Ave, Bldg. C-1, Cocoa, FL 32922-5758 | 2009-12-28 |
| 1821039421 | Claire C Boland | Counselor | 1970 Michigan Ave, J 2, Cocoa, FL 32922-5758 | 2006-06-08 |
| 1760446215 | Gary F Burnham | Social Worker | 1970 Michigan Ave, Bld J2, Cocoa, FL 32922-5758 | 2006-04-13 |
| 1134183569 | Nancy Mackay | Psychologist | 1970 Michigan Ave, Suite J-2, Cocoa, FL 32922-5758 | 2006-04-13 |
| 1851354732 | Burnham Woods Champa & Associates | Social Worker | 1970 Michigan Ave, J 2, Cocoa, FL 32922-5758 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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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.