Maria Rosa Otero Suria, M.D., PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9959 Issued in FL

Practice address

160 Avenue E NW
Winter Haven, FL 33881-4127

Phone

(863) 888-0808

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

Yes

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Advance Psychological Consulting Services, LLC

  • Clinical Psychologist
  • Winter Haven, FL
  • NPI 1811687965
  Medicare reassignment NPD Authorized official
• Bettye West & Associates, Inc.

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1063605111
  NPD (past)
• Alpes Advanced Logistic Psychological Educational Services

  • Clinical Psychologist
  • Vega Baja, PR
  • NPI 1649601865

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1346440708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7073",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338837073",
            "telephone_number": "863-888-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE E NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814127",
            "telephone_number": "863-888-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO SURIA",
        "first_name": "MARIA",
        "middle_name": "ROSA",
        "credential": "M.D., PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "9959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Omar Ortiz Pimentel, D.M.D
• Crystal Brook Ortiz, APRN
• Emilio Ortiz
• Jay Ortiz, LMHC
• Stephanie Lauren Osteen, BA
• Domenic Vincent Ottaiano, M.D.
• Loubna Ouaffai, ARNP- FNP-C
• Our Children'S Middle Academy
• Our Children'S Rehab Center, Inc.
• Shakira Outing

• Clinical Psychologist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.