Fabio Humberto Rojas Donoso, MS

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

101 S Dixie Dr
Haines City, FL 33844-2844

Phone

(863) 216-6595

NPI assigned

Apr 8, 2020

Last updated

Mar 22, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1760011001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 GLIDING WAVE ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879088",
            "telephone_number": "786-812-8046",
            "fax_number": "863-216-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DIXIE DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338442844",
            "telephone_number": "863-216-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS DONOSO",
        "first_name": "FABIO",
        "middle_name": "HUMBERTO",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Haines City, FL
• Providers in Haines City, FL by specialty
• Cognitive & Behavioral Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.