Organization Active NPI

Rosario S Crane P a

  • Psychologist
  • Tampa, FL
National Provider Identifier
1407087653
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3335 Issued in FL
Legal business name
ROSARIO S CRANE P A
Practice address
4144 N Armenia Ave
Suite 301
Tampa, FL 33607-6400
Phone
(813) 875-0122
Fax
(813) 875-0208
NPI assigned
Aug 6, 2009
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Rosario S Crane, PHDNPI 1447395959
Title
Clinical Psychologist
Phone
(813) 875-0122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY3335 FL Primary

Addresses

Primary practice location

4144 N Armenia Ave
Suite 301
Tampa, FL 33607-6400

Mailing address

4144 N Armenia Ave
Suite 301
Tampa, FL 33607-6400
Phone (813) 875-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000141 FL Part B Supplier - Clinic/Group Practice 3274662192 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

611 W Bay St
Ste 1D
Tampa, FL 33606
Phone (813) 875-0122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1407087653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "SUITE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-875-0122",
            "fax_number": "813-875-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "SUITE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-875-0122",
            "fax_number": "813-875-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSARIO S CRANE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-875-0122",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.