Kyle Rosales

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Phone

(407) 497-2754

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1013525484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 MARTIN LUTHER KING ST N APT 19104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161639",
            "telephone_number": "407-497-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "407-497-2754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11850 Martin Luther King St N Apt 19104",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161639",
            "country_code": "US",
            "telephone_number": "407-497-2754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Rodell, LCSW
• Stephanie Rodriguez Santiago, M.D.
• Robin Colette Rodriguez, R.K.T.
• Linda B. Rolston, PHARM.D., C.G.P.
• Lorie Lycette Roman, PHARM. D.
• Brenda L Rosas, OTR/L
• Frank T. Rossi, P.T.
• Adam Roth
• Lauren Roy, R.D.
• Heather Ruiz, CTRS

• All providers in Bay Pines, FL
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.