NPIMap

Organization Active NPI

Psychology and Behavior Services

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1013211184
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCHOLOGY AND BEHAVIOR SERVICES
Practice address
4882 NW 4TH Ter
Miami, FL 33126-2171
Phone
(305) 639-3049
Fax
(305) 639-3049
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank David Rosa, PSY.D, BCBA-DNPI 1184261869
Title
Executive Director
Phone
(305) 801-8957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4882 NW 4TH Ter
Miami, FL 33126-2171

Mailing address

11233 NW 50TH Ter
Doral, FL 33178-3543

Other identifiers 2

IdentifierTypeStateIssuer
673561498OtherFLMEDICAID WAIVER - FAMILY AND SUPPORTED LIVING WAIVER
673561496OtherFLMEDICAID WAIVER - HOME AND COMMUNITY BASED SERVICES WAIVER

Other names 1

  • Frank D Rosa, CBA Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1013211184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 NW 50TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 NW 4TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262171",
            "telephone_number": "305-639-3049",
            "fax_number": "305-639-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY AND BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-801-8957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER - FAMILY AND SUPPORTED LIVING WAIVER",
            "identifier": "673561498",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER - HOME AND COMMUNITY BASED SERVICES WAIVER",
            "identifier": "673561496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank D Rosa, CBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.