MEDICARE: PSYCHOLOGY GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY8465	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336550888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOLOGY GROUP INC

Provider Business Mailing Address
First Line	:	3131 SW 135TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6657
Country	:	US
Telephone Number	:	786-234-8038
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 SW 135TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6657
Country	:	US
Telephone Number	:	786-234-8038
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARLEN CASTELLANO
Credential	:	PSY.D
Telephone Number	:	786-234-8038

Provider Enumeration Date	:	05/17/2014
Last Update Date	:	05/19/2016

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1164386074 — OH BEHAVE LLC
Practice Location Address:

3131 SW 135TH AVE
MIAMI, FL
33175-6657

Practice Phone: 786-853-6717
Practice Fax:

1689773202 — MARLEN CASTELLANO PSYD
Practice Location Address:

3131 SW 135TH AVE
MIAMI, FL
33175-6657

Practice Phone: 786-234-8038
Practice Fax:

1538516216 — MARLEN CASTELLANO PSYD INC
Practice Location Address:

3131 SW 135TH AVE
MIAMI, FL
33175-6657

Practice Phone: 786-234-8038
Practice Fax:

1700044617 — MR. ENRIQUE A HERNANDEZ VILA MD
Practice Location Address:

7480 BIRD RD STE 560
MIAMI, FL
33155-6657

Practice Phone: 305-707-5688
Practice Fax: 305-760-4149

1164060497 — ADVANCED VASCULAR CARDIAC & VEINS, PLLC
Practice Location Address:

7480 BIRD RD STE 560
MIAMI, FL
33155-6657

Practice Phone: 305-450-1239
Practice Fax:

Directions to “PSYCHOLOGY GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.