Dianne E Rosen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2553 Issued in FL

Practice address

3107 Stirling Rd
Suite 103
Ft Lauderdale, FL 33312-6565

Phone

(305) 935-1364

Fax

(305) 935-1439

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1770524241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "305-935-1364",
            "fax_number": "305-935-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "305-935-1364",
            "fax_number": "305-935-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DIANNE",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shah Michael Asadi Rosario, PT
• Edith Angelica Rosas Garcia, LMHC
• Amanda Rosauer
• Donald L Rose, PSY.D.
• Sharon Debra Roseman, L.C.S.W.
• Matthew Nathan Rosen, MS, LMHC, NCC, PA
• Jerry Harris Rosenbaum, D.D.S.,M.S.
• Krista D Rosenberg
• Marcy Joy Rosenberg, M.A.,L.M.H.C.
• Lily T Rosenblatt

• Clinical Psychologist in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.

Verify at the official NPI Registry.