DR. MARLENE CARIDAD EGUSQUIZA
NPI 1669014460
Psychologist in Hialeah, FL

Active since October 13, 2019PECOS EnrolledAccepts Medicare Assignment
4175 W 20TH AVE, HIALEAH, FL 33012(305) 825-0300 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2022, Oct 23, 2019, Oct 13, 2019 (3 updates tracked since 2019).

About Dr. Marlene Caridad Egusquiza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLENE CARIDAD EGUSQUIZA (NPI 1669014460) is an individual psychologist in Hialeah, Florida and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcadia, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669014460
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARLENE CARIDAD EGUSQUIZA
Location Address4175 W 20TH AVEHialeah, FL 33012-5874
Mailing Address4175 W 20th AveHialeah, FL 33012-5874 · (305) 825-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 13, 2019
Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1669014460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4175 W 20TH AVE, Hialeah, FL 33012

Secondary Practice Location 1

Location 1725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marlene Caridad Egusquiza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931505922
PECOS Enrollment IDI20210830002865
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Marlene Egusquiza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1599 SE LENNARD RD
Port St Lucie, FL 34952
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
418 services101 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
110 services58 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
44 services44 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Social Worker (Clinical)
4175 W 20TH AVE
HIALEAH, FL 33012
Student in an Organized Health Care Education/Training Program
4175 W 20TH AVE
HIALEAH, FL 33012
Nurse Practitioner (Primary Care)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012

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 Marlene Egusquiza's NPI number?

The NPI number for Marlene Egusquiza is 1669014460. It was assigned to this individual provider in the NPPES registry on October 13, 2019.

Where is Marlene Egusquiza located?

Marlene Egusquiza practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 825-0300.

What is Marlene Egusquiza's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Marlene Egusquiza enrolled in Medicare?

Yes. Marlene Egusquiza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marlene Egusquiza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Egusquiza reassigns Medicare benefits to 3 organizations: Health And Healing Mental Health Center (Port St Lucie, FL), Mcr Health, Inc. (Parrish, FL) and Balanced Wellbeing LLC (Ocala, FL). Each 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 Marlene Egusquiza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlene Egusquiza accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Marlene Egusquiza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlene Egusquiza was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.