Individual provider Active NPI

Brenda Rojas Romagnoli, PSYD

  • Clinical Neuropsychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1629855044
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY11911 Issued in FL
Practice address
11211 Prosperity Farms Rd Ste C303
Palm Beach Gardens, FL 33410-3401
Phone
(561) 688-9795
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY11911 FL Primary

Addresses

Primary practice location

11211 Prosperity Farms Rd Ste C303
Palm Beach Gardens, FL 33410-3401

Mailing address

6525 Columbia Ave
Lake Worth, FL 33467-7365
Phone (786) 253-0488

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

LicenseStateTypeSpecialty
PY11911FLMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1629855044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 COLUMBIA AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677365",
            "telephone_number": "786-253-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE C303",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103401",
            "telephone_number": "561-688-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAGNOLI",
        "first_name": "BRENDA",
        "middle_name": "ROJAS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.