Kathy Ross, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6452 Issued in FL

Practice address

8030 Peters Rd
Suiet D106
Plantation, FL 33324-4038

Phone

(954) 475-9503

Fax

(954) 476-2369

NPI assigned

Jan 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821147000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUIET D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUIET D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KATHY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "54738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romina Rosen, LCSW
• Steven A. Rosenberg, D.D.S.
• Robert Alan Rosensweig, MD
• Jon Nelson Rosenthal, DO
• Scott Rosiere, PAY. D.
• Meredith Ross
• Nicole Brianne Ross, ARNP, FNP-BC
• Shayan Rostami
• Evan Roszkowski, PA-C
• Juan Pedro Rother, MD

• Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.