Robert J Rotunda, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5645 Issued in FL

Practice address

890 South Palafox Street
Suite 300
Pensacola, FL 32502

Phone

(850) 433-1656

Fax

(850) 433-1996

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Pensacola Psychological Clinic PA

  • Clinical Psychologist
  • Pensacola, FL
  • NPI 1730241209
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1720172778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 SOUTH PALAFOX STREET",
            "address_2": "SUITE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SOUTH PALAFOX STREET",
            "address_2": "SUITE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTUNDA",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "74438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L Ross IV, P.T.A.
• Warren Ross, MD
• Star Rostankovski, OD
• Rotech Oxygen and Medical Equipment Inc
• Kaylin Roth
• Deborah Marie Rougas, LCSW
• Debra Jones Rougeau, M.D.
• Coyt Andrew Rountree, M.D.
• Steven Roupe, P.T.A
• Juliet S Rousey, M.ED.,CCC/SLP

• Clinical Psychologist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.