DR. MARYLA IZABELLA MADURA (PH.D.) – Clinical Psychologist, NPI 1841340809

DR. MARYLA IZABELLA MADURA (PH.D.) is a healthcare provider. based in Dothan, Alabama. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 1422 (AL). The NPI Number for DR. MARYLA IZABELLA MADURA (PH.D.) is 1841340809

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARYLA IZABELLA MADURA (PH.D.)
NPI
1841340809
Phone
(334) 794-2113
Address
1841 HONEYSUCKLE RD
Enumeration Date
11 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413466460
Graduation Year
2006 (20 years ago)
PAC ID
9133287451
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20081015000230
Address ID
FL342095605BR5715XWXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

160 CLINICAL PSYCHOLOGIST in AL

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Provider Addresses for DR. MARYLA IZABELLA MADURA (PH.D.)

  • 1841, Honeysuckle Road, Silver Meadows, Dothan, Houston County, Alabama, 36305, United States

    DOTHAN, AL 363054269

    Phone: (334) 794-2113

    Fax: (334) 702-1220

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081015000230IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16235$0
90832Psychotherapy, 30 minutes9130$0
90834Psychotherapy, 45 minutes6927$0
90791Psychiatric diagnostic evaluation2121$0
View full utilization report →

Insurance plans in this area (ZIP 36305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical Social WorkerTN
Clinical PsychologistRI
Mental Health CounselorSC
Mental Health CounselorNC
Clinical PsychologistIL
Clinical PsychologistFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
Mental Health CounselorMD

Reviews

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Frequently asked questions

Is there an official ID for DR. MARYLA IZABELLA MADURA (PH.D.) in U.S. healthcare records?
The official identifier for DR. MARYLA IZABELLA MADURA (PH.D.) is NPI 1841340809.
Would DR. MARYLA IZABELLA MADURA (PH.D.) appear as active to a payer?
You can treat DR. MARYLA IZABELLA MADURA (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. MARYLA IZABELLA MADURA (PH.D.)?
DR. MARYLA IZABELLA MADURA (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Alabama is DR. MARYLA IZABELLA MADURA (PH.D.) registered?
Use Dothan, Alabama as the headline location for DR. MARYLA IZABELLA MADURA (PH.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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