Individual provider Active NPI

Joshua Daniel Rooks, PHD

  • Clinical Psychologist
  • Miami Lakes, FL
National Provider Identifier
1821632779
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10643 Issued in FL
Practice address
6520 Miami Lakeway S
Miami Lakes, FL 33014-2747
Phone
(616) 403-5958
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY10643 FL
Clinical Psychologist 103TC0700X PY10643 FL Primary

Addresses

Primary practice location

6520 Miami Lakeway S
Miami Lakes, FL 33014-2747

Mailing address

6520 Miami Lakeway S
Miami Lakes, FL 33014-2747
Phone (616) 403-5958

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200316001628 FL Practitioner - Clinical Psychologist 9830527308 Reassigns benefits to 2 organizations
Practice locations: Miami Lakes, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7328 Jacaranda LN
Miami Lakes, FL 33014-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY10643FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Health Institute Inc Clinical Neuropsychologist CurrentSince Apr 13, 2020 Accepting new patients
Joshua Rooks, PHD, LLC Clinical Neuropsychologist CurrentSince Aug 4, 2020 Accepting new patients

Locations

3471 N Federal Hwy
Ste 508
Ft Lauderdale, FL 33306
Phone (954) 321-1980

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1821632779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 MIAMI LAKEWAY S",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142747",
            "telephone_number": "616-403-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 MIAMI LAKEWAY S",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142747",
            "telephone_number": "616-403-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKS",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY10643",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.