Individual provider Active NPI

Frank David Rosa, PSY.D., BCBA-D

  • Psychologist
  • Doral, FL
National Provider Identifier
1184261869
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8448 Issued in FL
Practice address
4001 NW 97TH Ave Ste 301I
Doral, FL 33178-2336
Phone
(305) 801-8957
Fax
(305) 639-3049
NPI assigned
Dec 2, 2019
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-04-1706 FL
Psychologist 103T00000X PY8448 FL Primary

Addresses

Primary practice location

4001 NW 97TH Ave Ste 301I
Doral, FL 33178-2336

Mailing address

11233 NW 50TH Ter
Doral, FL 33178-3543
Phone (305) 801-8957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY8448FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology and Behavior Services PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1184261869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 NW 50TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783543",
            "telephone_number": "305-801-8957",
            "fax_number": "305-639-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NW 97TH AVE STE 301I",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782336",
            "telephone_number": "305-801-8957",
            "fax_number": "305-639-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "FRANK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1706",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.