Active NPI
Rose Roach Psychotherapy
- Clinical Social Worker
- Melbourne, FL
National Provider Identifier
1033548300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9362
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.