Stacey M. Rosenfeld, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 9153 Issued in FL

Practice address

4601 Ponce de Leon Blvd
260
Coral Gables, FL 33146-2111

Phone

(917) 847-4847

NPI assigned

May 9, 2006

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 7, 2021 through Mar 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gatewell Therapy Center

  • Clinical Psychologist
  • Coral Gables, FL
  • NPI 1043752389
  Authorized official Same address or phone

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1780633578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 SALZEDO ST STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346725",
            "telephone_number": "305-846-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PONCE DE LEON BLVD",
            "address_2": "260",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462111",
            "telephone_number": "917-847-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "STACEY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016505",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24209",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul T Rose, MD
• Adam Michael Rosen, M.D.
• Jeffrey Bruce Rosen, MD
• Rocio Rosenada
• Leon Aaron Rosenberg, D.O.
• Emily S Rosenthal, LCSW
• Melissa Roses, PTA
• Siavash Rostami, DPM
• Eugenio M Rothe, MD
• Robert Jeremy Rothrock, MD

• Clinical Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.