Rozemarijn Staal, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1500 Corporate Cir Ste 7
Southlake, TX 76092-5954

Phone

(513) 316-3004

NPI assigned

Aug 1, 2012

Sex

Female

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)

Enrolled

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.

• Ardent Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Southlake, TX
  • NPI 1154038578
  NPD Authorized official

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1790031375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 STADIUM VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761182031",
            "telephone_number": "513-316-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CORPORATE CIR STE 7",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925954",
            "telephone_number": "513-316-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAL",
        "first_name": "ROZEMARIJN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha J Sprekelmeyer
• Kathryn Jo Sprengel, LPC ASSOCIATE
• Spry Medical Group Corporation
• Squire Surgical Services PLLC
• Pravina Srinivas, PHD, MLS
• Stacey Cartlidge LPC PLLC
• Morgan Stahlheber
• Christy Stancliffe
• Christa Ann Stapleton, BCBA
• Star Image Dentistry of Southlake PLLC

• Psychologist in Southlake, TX
• Providers in Southlake, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.