Mercedes E Rosenberg, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6349 Issued in FL

Practice address

11110 N Kendall Dr
Suite 200
Miami, FL 33176-0938

Phone

(305) 596-3335

Fax

(305) 596-3976

NPI assigned

Aug 17, 2007

Reactivated

Jun 13, 2022

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

Other identifiers 1

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• HealthSun Health Plans Network

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.

• Dr Mercedes Rosenberg PA

  • Clinical Psychologist
  • Miami, FL
  • NPI 1851493027
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1437341914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11985 BIRD DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753564",
            "telephone_number": "305-596-3335",
            "fax_number": "305-227-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 N KENDALL DR",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760938",
            "telephone_number": "305-596-3335",
            "fax_number": "305-596-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MERCEDES",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "deactivation_date": "2022-05-12",
        "reactivation_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765981400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Michele Rosenbaum, MD
• Rosenberg Eye Center Inc.
• Albert J Rosenberg
• Andrew Eric Rosenberg, MD
• Cathy M Rosenberg, APRN
• Rachel Rosenberg
• Sandra Rosenberg, ARNP
• Sarah L Rosenberg, DDS
• Stanley Rosenberg, MD
• Taylor Paige Rosenblat, PSY.D.

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.