Individual provider Active NPI

Rose Chantal Huber, PSY.D.

  • Psychologist
  • South Miami, FL
National Provider Identifier
1336370501
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7973 Issued in FL
Practice address
7330 SW 62ND PL Ste 210
South Miami, FL 33143-4825
Phone
(305) 901-7350
Fax
(786) 732-4087
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7973 FL Primary

Addresses

Primary practice location

7330 SW 62ND PL Ste 210
South Miami, FL 33143-4825

Mailing address

7330 SW 62ND PL Ste 210
South Miami, FL 33143-4825
Phone (305) 901-7350

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000795 FL Practitioner - Clinical Psychologist 0446393789 Reassigns benefits to 1 organization
Practice locations: South Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7330 SW 62ND PL
Suite 210
South Miami, FL 33143-4825
Phone (305) 901-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY7973FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of South Florida LLC Psychologist CurrentSince Oct 31, 2015 Accepting new patients
Kerrianne Bresnan, Psy.D., LLC PastSince Nov 8, 2020 Accepting new patients

Locations

1550 Madruga Ave
Ste 510
Coral Gables, FL 33146
Phone (305) 528-8808

6705 SW 57th Ave
Ste 510
South Miami, FL 33143
Phone (305) 774-7653

7330 SW 62nd Pl
Ste 210
South Miami, FL 33143
Phone (305) 901-7350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1336370501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SW 62ND PL STE 210",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434825",
            "telephone_number": "305-901-7350",
            "fax_number": "786-732-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SW 62ND PL STE 210",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434825",
            "telephone_number": "305-901-7350",
            "fax_number": "786-732-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "ROSE",
        "middle_name": "CHANTAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.