Individual provider Active NPI

Rosario Silva Crane, PH.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1447395959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003335 Issued in FL
Practice address
4144 N Armenia Ave
Ste.301
Tampa, FL 33607-6400
Phone
(813) 875-0122
Fax
(813) 875-0208
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0003335 FL Primary

Addresses

Primary practice location

4144 N Armenia Ave
Ste.301
Tampa, FL 33607-6400

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
4307238OtherFLAETNA PROVIDER NUMBER
73515OtherFLBCBS PROVIDER NUMBER

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
I20091015000639 FL Practitioner - Clinical Psychologist 9739225129 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0003335FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosario S Crane P a CurrentSince May 17, 2009 Accepting new patients

Locations

4144 N Armenia Ave
Ste 301
Tampa, FL 33607
Phone (813) 679-6275

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447395959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "STE.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": "STE.301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-875-0122",
            "fax_number": "813-875-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "ROSARIO",
        "middle_name": "SILVA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4307238",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "73515",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.