Family Psychological Services of Palm Harbor Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5165 Issued in FL

Legal business name

FAMILY PSYCHOLOGICAL SERVICES OF PALM HARBOR INC

Practice address

2142 Alt 19 Ste C1
Palm Harbor, FL 34683-5361

Phone

(727) 787-6177

Fax

(727) 787-8406

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric L Rosen, PH.D.NPI 1184706376

Title

Owner & President

Phone

(727) 787-6177

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric L Rosen, PH.D.

  • Clinical Psychologist
  • Palm Harbor, FL
  • NPI 1184706376
  Medicare reassignment NPD Authorized official
• Bonita Emes Carine, PH.D.

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1770632549
  NPD (past)
• Patrick Ralph Klein, LCSW

  • Clinical Social Worker
  • Palm Harbor, FL
  • NPI 1407877939
  NPD (past)
• Jonathan Carl Mossey, PSY.D.

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1497855472
  NPD (past)
• Terri Pendleton, LMHC

  • Mental Health Counselor
  • Hudson, FL
  • NPI 1942386024
  NPD (past)
• Miriam Sarah Zicht, PH.D.

  • Clinical Psychologist
  • Palm Harbor, FL
  • NPI 1447338363
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1639203763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 ALT 19 STE C1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835361",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 ALT 19 STE C1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835361",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHOLOGICAL SERVICES OF PALM HARBOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "727-787-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5165",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steena Marcia Facey, LCSW
• Daniel Faiella, PTA
• Joshua Falleur
• Family Dental Group of Florida, PLLC
• Family Foot and Ankle Solutions Inc
• Fana Medical Group, Tampa Rd LLC
• Fanourios I. Ferderigos, M.D., P.a.
• Michael Farris, DCN, MS, LDN, CNS
• Dean A Fauber, M.D.
• Antonio Federico

• Psychologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.