TANIA I MARRERO (PSYD) – Clinical Psychologist, NPI 1154668861

TANIA I MARRERO (PSYD) is a healthcare provider. based in Saint cloud, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 004740 (PR). The NPI Number for TANIA I MARRERO (PSYD) is 1154668861

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
TANIA I MARRERO (PSYD)
NPI
1154668861
Phone
(787) 674-4864
Address
1441 LAKE PARKWAY DR
Enumeration Date
15 January 2013
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212573960
Graduation Year
2012 (14 years ago)
PAC ID
5597020784
Professional Enrollment ID
I20180516002923
Address ID
FL347691400SA4735XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for TANIA I MARRERO (PSYD)

  • 1441 LAKE PARKWAY DR

    SAINT CLOUD, FL 347718897

    Phone: (787) 674-4864

    Type: Mailing

  • 4735 OLD CANOE CREEK RD

    SAINT CLOUD, FL 347691400

    Phone: (321) 257-3960

    Fax: (407) 604-7677

    Type: Mailing

  • 161 Ave Ponce De Leon Ste 206

    San Juan, PR 009171253

    Phone: (787) 674-4864

    Type: Location

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: 2018-05-16

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
I20180516002923IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34771)

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Reviews

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Frequently asked questions

Is there an official ID for TANIA I MARRERO (PSYD) in U.S. healthcare records?
The official identifier for TANIA I MARRERO (PSYD) is NPI 1154668861.
Active or inactive — what applies to TANIA I MARRERO (PSYD)?
You should see TANIA I MARRERO (PSYD) as active in CMS-hosted NPPES data.
What expertise is attributed to TANIA I MARRERO (PSYD)?
TANIA I MARRERO (PSYD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is TANIA I MARRERO (PSYD) associated with Saint Cloud?
Public fields place TANIA I MARRERO (PSYD) around Saint Cloud, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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