Active NPI
Avi Rosenberg, PSYD
- Psychologist
- North Miami Beach, FL
National Provider Identifier
1346789385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 9807
- Practice address
- 1040 NE 179TH St
North Miami Beach, FL 33162-1216 - Phone
- (305) 985-2126
- NPI assigned
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 9807 | FL | Primary |
Addresses
Primary practice location
1040 NE 179TH St
North Miami Beach, FL 33162-1216
Mailing address
1040 NE 179TH St
North Miami Beach, FL 33162-1216
Phone (305) 985-2126
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 |
|---|---|---|---|
| PY 9807 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1346789385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 NE 179TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621216",
"telephone_number": "305-985-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NE 179TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621216",
"telephone_number": "305-985-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "AVI",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 9807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.