Active NPI
Roston T. Moss, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11015033
- Practice address
- 3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215 - Phone
- (954) 324-7650
- Fax
- (305) 703-2202
- NPI assigned
- Sep 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11015033 | FL | Primary |
Addresses
Primary practice location
3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Mailing address
3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Phone (954) 324-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3105 NW 107TH Ave
Suite 400
Doral, FL 33172-2215
Phone (954) 324-7650
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
9220 Sunset Dr
Suite 104
Miami, FL 33173-3259
Phone (786) 724-4224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015033 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daema Pina PSYD LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| South Florida Psychiatry Group, PA | Psychiatric/Mental Health | Current | Accepting new patients |
| South Florida Psychiatry | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8950 SW 74th Ct
Ste 2201
Miami, FL 33156
Phone (305) 238-9855
8950 SW 74th Ct
Ste 1911
Miami, FL 33156
Phone (305) 670-0641
9220 Sunset Dr
Ste 104
Miami, FL 33173
Phone (786) 724-4224
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1720658677
-
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
- NPI 1386493674
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1588366991
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1508511395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1285304725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 NW 107TH AVE STE 400",
"city": "DORAL",
"state": "FL",
"postal_code": "331722215",
"telephone_number": "954-324-7650",
"fax_number": "305-703-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 NW 107TH AVE STE 400",
"city": "DORAL",
"state": "FL",
"postal_code": "331722215",
"telephone_number": "954-324-7650",
"fax_number": "305-703-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "ROSTON",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-16",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11015033",
"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 Jun 9, 2026; 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.