Active NPI
Aliza Naomi Rosen, PSY.D.
- Clinical Psychologist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6029
- Practice address
- 1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993 - Phone
- (321) 757-7957
- Fax
- (321) 265-4015
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Psychologist | 103TC0700X | PY6029 | FL | Primary |
Addresses
Primary practice location
1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993
Mailing address
1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993
Phone (321) 757-7957
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2025
Phone (321) 757-7957
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aliza Rosen, Psy.D.,P.a. | Clinical | Current | Accepting new patients |
| Baytree Behavioral Health PA | Past | Accepting new patients |
Locations
6767 N Wickham Rd
Ste 306
Melbourne, FL 32940
Phone (321) 751-1925
1370 Bedford Dr
Ste 106
Melbourne, FL 32940
Phone (321) 253-8887
1370 Bedford Dr
Ste 102
Melbourne, FL 32940
Phone (321) 622-8104
850 Garden St
Titusville, FL 32796
Phone (321) 267-3233
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Melbourne, FL
- NPI 1134213903
-
- Psychologist
- Melbourne, FL
- NPI 1447302633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1700970662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 BEDFORD DR STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401993",
"telephone_number": "321-757-7957",
"fax_number": "321-253-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BEDFORD DR STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401993",
"telephone_number": "321-757-7957",
"fax_number": "321-265-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ALIZA",
"middle_name": "NAOMI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.