Eric L Rosen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0005165 Issued in FL

Practice address

2142 Alt 19 Ste C1
Palm Harbor, FL 34683-5361

Phone

(727) 787-6177

Fax

(727) 787-8406

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Family Psychological Services of Palm Harbor Inc

  • Psychologist
  • Palm Harbor, FL
  • NPI 1639203763

  Clinical

  Medicare reassignment NPD Authorized official
• Patrick Klein LCSW PA

  • Clinical Social Worker
  • Palm Harbor, FL
  • NPI 1386827871
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1184706376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 ALT 19 STE C1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835361",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 ALT 19 STE C1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835361",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon S Rophie, AU D
• Carson Rorie
• Cristobal Rosario, M.D.
• Manuel Silva Rose, MD
• Rosegarden Assisted Living Facility, LLC
• Rosewood House Inc
• Jay Howard Ross, M.D.
• David S Rothberg, M.D.
• Darren Martin Rothschild, M.D.
• Deborah S Rouchon, CRNA

• Clinical Psychologist in Palm Harbor, FL
• Providers in Palm Harbor, 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 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.