Leigh S. Rosenberg, Psy.D. PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003608 Issued in FL

Legal business name

LEIGH S. ROSENBERG, PSY.D. PLLC

Practice address

2973 W Sr 434 Ste 400
Longwood, FL 32779-4455

Phone

(407) 362-5930

Fax

(407) 362-5930

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Leigh Scott Rosenberg, PSY.D.NPI 1952475865

Title

President

Phone

(407) 362-5930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leigh Scott Rosenberg, PSY. D.

  • Psychologist
  • Longwood, FL
  • NPI 1952475865
  Medicare reassignment NPD Authorized official
• Ashley Gobeil, PH.D.

  • Psychologist
  • Longwood, FL
  • NPI 1104174473
  NPD

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1093223265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 W SR 434 STE 400",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794455",
            "telephone_number": "407-362-5930",
            "fax_number": "407-362-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 W SR 434 STE 400",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794455",
            "telephone_number": "407-362-5930",
            "fax_number": "407-362-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH S. ROSENBERG, PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-362-5930",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Longwood, FL
• Providers in Longwood, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.