Marvin S. Rosenblatt, PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 2555 Issued in FL

Legal business name

MARVIN S. ROSENBLATT, PH.D., P.A.

Practice address

6203 West Commercial Boulevard
Ft.Lauderdale, FL 33319

Phone

(954) 722-2020

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marvin S. Rosenblatt, PH.D.

Title

President

Phone

(954) 722-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467667097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 WEST COMMERCIAL BOULEVARD",
            "city": "FT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-722-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 WEST COMMERCIAL BOULEVARD",
            "city": "FT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-722-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN S. ROSENBLATT, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-722-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 2555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "75781",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Ft.Lauderdale, FL
• Providers in Ft.Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.