MARINA SUD
NPI 1104446921
Psychologist in Louisville, KY
About Marina Sud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINA SUD (NPI 1104446921) is a healthcare organization registered as a psychologist in Louisville, Kentucky and active in the NPI registry since April 2020. The organization lists Marina Sud, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marina Sud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Marina Sud, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marina Sud's NPI number?
The NPI number for Marina Sud is 1104446921. It was assigned to this organization in the NPPES registry on April 22, 2020.
Where is Marina Sud located?
Marina Sud is located at 1834 Gresham Rd, Louisville, KY 40205. The listed phone number is (914) 475-7256.
What is Marina Sud's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Marina Sud enrolled in Medicare?
Yes. Marina Sud is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marina Sud?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Marina Sud. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marina Sud was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.