Antonio Rotondo, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY9472 Issued in FL

Practice address

399 Camino Gardens Blvd Ste 200
Boca Raton, FL 33432

Phone

(786) 261-6409

NPI assigned

Nov 28, 2016

Last updated

Aug 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534032000000",
    "number": "1184167934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 NE 14TH STREET CSWY APT 209B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623620",
            "telephone_number": "786-261-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CAMINO GARDENS BLVD STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "786-261-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2018-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Rothenberg, D.O.
• Nicole Rothenberg, LCSW
• Zdenka Rothenberg
• Nicole Joy Rothman, PSY.D.
• Ira Rothstein, DMD, MS
• Carolina Rotondo, P.T
• Leslie Rouder, LCSW
• Jonathan Rouffe
• Todd J Rouse, PA
• Leticia Alexandra Rousso, O.D.

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2018; 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.