Active NPI
Brenda Rojas Romagnoli, PSYD
- Clinical Neuropsychologist
- Palm Beach Gardens, FL
National Provider Identifier
1629855044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY11911
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY11911 | FL | MD | Clinical 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.