Organization Active NPI

Rose Roach Psychotherapy

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1033548300
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9362 Issued in FL
Legal business name
ROSE ROACH PSYCHOTHERAPY
Practice address
600 E Strawbridge Ave
200
Melbourne, FL 32901-4796
Phone
(321) 271-5487
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Rose Roach
Title
Owner
Phone
(321) 271-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9362 FL Primary

Addresses

Primary practice location

600 E Strawbridge Ave
200
Melbourne, FL 32901-4796

Mailing address

600 E Strawbridge Ave
200
Melbourne, FL 32901-4796

National Provider Directory

National Provider Directory

Locations

600 E Strawbridge Ave
#200
Melbourne, FL 32901
Phone (321) 271-5487

600 E Strawbridge Ave
Ste 200
Melbourne, FL 32901
Phone (321) 271-5487

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1033548300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E STRAWBRIDGE AVE",
            "address_2": "200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STRAWBRIDGE AVE",
            "address_2": "200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014796",
            "telephone_number": "321-271-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ROACH PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-271-5487"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.