Active NPI
Frank David Rosa, PSY.D., BCBA-D
- Psychologist
- Doral, FL
National Provider Identifier
1184261869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY8448
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY8448 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology and Behavior Services | Past | 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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1013211184
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.